Stacey Leigh Groves, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2016 Issued in TN

Practice address

317 Seven Springs Way Ste 101
Brentwood, TN 37027

Phone

(615) 370-9992

Fax

(615) 370-9665

NPI assigned

Jan 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.groves.2@31315.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seven Springs Orthopaedics, PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Brentwood, TN
  • NPI 1194210005
  Medicare reassignment NPD
• 45 Urgent Care, P.C.

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1912326539
  Medicare reassignment
• Cedar Recovery Center of Middle Tennessee, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbia, TN
  • NPI 1801345285
  Medicare reassignment
• Redemption Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dyersburg, TN
  • NPI 1639746928
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1114298684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274576",
            "telephone_number": "615-370-9992",
            "fax_number": "615-370-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SEVEN SPRINGS WAY STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-370-9992",
            "fax_number": "615-370-9665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Crossings Cir",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Mount Juliet",
            "state": "TN",
            "postal_code": "371228592",
            "country_code": "US",
            "telephone_number": "615-758-1010",
            "fax_number": "615-758-3875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVES",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-15",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Annette Grissom, MA, LPC-MHSP
• Chelsea Griswold, CCP
• Kelly Gross
• Jeffrey Grossman, MA
• Miricle Groves
• He Gu
• Jiawen Gu
• Guardian Health Care Provider Inc.
• Guardian Healthcare Providers Inc
• Guardian Healthcare Providers, Inc.

• Physician Assistant in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.