Gregory Vanfossen, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

21795 Issued in TN

Practice address

4957 Swinyar Dr Ste 101
Ooltewah, TN 37363-2205

Phone

(423) 698-0850

Fax

(833) 450-6311

NPI assigned

Nov 9, 2006

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialists in Pain Management, PLLC Dba Spine and Pain AssociatesGroup PAC ID 1355253659, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.09 of 100Reported as group

Quality

54.02

Improvement activities

40

Cost

90.96

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.vanfossen.1@30188.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Interventional Pain Medicine Physician
  • Chattanooga, TN
  • NPI 1447203922
  Medicare reassignment Care Compare group NPD
• Ford Center for Pain Management

  • Interventional Pain Medicine Physician
  • Cleveland, TN
  • NPI 1619009065
  Medicare reassignment NPD
• Specialists in Pain Management, PLLC Dba Spine & Pain Associates

  • Prosthetic/Orthotic Supplier
  • Cleveland, TN
  • NPI 1134872922
  NPD
• Dennis Clifford Ford MD

  dba Ford Center for Pain Management

  • Non-Pharmacy Dispensing Site
  • Cleveland, TN
  • NPI 1245241892
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1346310067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 BLUE SPRINGS RD",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373118827",
            "telephone_number": "786-818-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 SWINYAR DR STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373632205",
            "telephone_number": "423-698-0850",
            "fax_number": "833-450-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "862 Callen Ln NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373126995",
            "country_code": "US",
            "telephone_number": "423-331-5025",
            "fax_number": "833-450-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "281 N Lyerly St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042749",
            "country_code": "US",
            "telephone_number": "423-698-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANFOSSEN",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21795",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "21795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.