Individual provider Active NPI

Jessica Bell Groft, PA-C

  • Physician Assistant
  • Ooltewah, TN
National Provider Identifier
1194600395
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6739 Issued in TN
Practice address
9463 Pasture Dr
Ooltewah, TN 37363-5807
Phone
(423) 653-8836
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6739 TN Primary

Addresses

Primary practice location

9463 Pasture Dr
Ooltewah, TN 37363-5807

Mailing address

9463 Pasture Dr
Ooltewah, TN 37363-5807
Phone (423) 653-8836

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251008002624 TN Practitioner - Physician Assistant 5890292577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Life Healthcare PLLCGroup PAC ID 3870965593, 2 clinicians

Practice addresses (Care Compare)

2051 Hamill Rd
Hixson, TN 37343-6614
Phone (423) 495-7353

6102 Shallowford Rd
Suite 104
Chattanooga, TN 37421-1684
Phone (423) 206-9214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6739TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Dec 1, 2025 Accepting new patients
Southern Life Healthcare PLLC CurrentSince Sep 1, 2025 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

6102 Shallowford Rd
Ste 104
Chattanooga, TN 37421
Phone (423) 206-9214

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

1300 Cleveland Ave
Chattanooga, TN 37404
Phone (423) 495-4345

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1194600395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9463 PASTURE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635807",
            "telephone_number": "423-653-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 PASTURE DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635807",
            "telephone_number": "423-653-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROFT",
        "first_name": "JESSICA",
        "middle_name": "BELL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.