Individual provider Active NPI

Kala Grant

  • Primary Care Nurse Practitioner
  • Athens, TN
National Provider Identifier
1295366987
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27168 Issued in TN
Practice address
711 Cook Dr
Athens, TN 37303-3486
Phone
(423) 744-7585
NPI assigned
Jan 31, 2020
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 27168 TN
Primary Care Nurse Practitioner 363LP2300X 27168 TN Primary

Addresses

Primary practice location

711 Cook Dr
Athens, TN 37303-3486

Mailing address

711 Cook Dr Ste 100
Athens, TN 37303-3499
Phone (423) 744-7585

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
I20231013002025 TN Practitioner - Nurse Practitioner 4082077326 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Physicians Practice LLCGroup PAC ID 2163490319, 33 clinicians

Practice addresses (Care Compare)

711 Cook Dr
Suite 100
Athens, TN 37303-3499
Phone (423) 744-7585

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27168TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Physicians Practice LLC CurrentSince Oct 1, 2024 Accepting new patients
Athens Physicians Practice LLC CurrentSince Oct 1, 2024 Accepting new patients
Athens Physicians Practice, LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 6, 2023 Accepting new patients
Athens Physicians Practice LLC Past Accepting new patients

Locations

711 Cook Dr
Ste 100
Athens, TN 37303
Phone (423) 744-7585

719 Cook Dr
Ste 104
Athens, TN 37303
Phone (423) 745-9770

872 Highway 411 N
Unit G
Etowah, TN 37331
Phone (423) 744-7585

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kala.grant.1@19363.direct.athenahealth.com
  • Direct secure messaging: ms_kgrant51@landmarkhealth-direct.org

Organizations & group practices 5

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

Hospital & facility affiliations 1

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1295366987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 COOK DR STE 100",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033499",
            "telephone_number": "423-744-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033486",
            "telephone_number": "423-744-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "KALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "27168",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "27168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.