Grace Point PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

GRACE POINT PLLC

Doing business as

Grace Point Pain Management

Practice address

2012 Chilhowee Medical Park
Maryville, TN 37804-5285

Phone

(606) 813-1979

Fax

(606) 363-0789

NPI assigned

Feb 23, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GRACE POINT PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Dawayne Douglas Cantrell

Title

Director of Finance

Phone

(606) 813-1979

Specialties & licenses 1

Addresses

Other names 1

• GRACE POINT PAIN MANAGEMENT Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Grace Point PLLC

Locations

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1295434793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 REYNOLDS RD",
            "city": "KEAVY",
            "state": "KY",
            "postal_code": "407372834",
            "telephone_number": "606-813-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHILHOWEE MEDICAL PARK",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045285",
            "telephone_number": "606-813-1979",
            "fax_number": "606-363-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE POINT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE POINT PLLC",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "DAWAYNE",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "606-813-1979",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE POINT PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Going, SLP
• Haley Morgan Gomez
• Kimberly A. Goodemote, M.D.
• Royce Jacob Goza, D.D.S.
• Grace Adult Day Center
• Layla Grant Moore
• David Bryant Grantham, ED.D.
• Gabriel Gordon Gravatt, PTA
• Mary Kathleen Gravatt, PTA
• Sherri Graves, M.A., CCC-SLP

• Pain Medicine Physician in Maryville, TN
• Providers in Maryville, TN by specialty
• Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.