Individual provider Active NPI

John Allen Gracy, MD

  • Orthopaedic Surgery Physician
  • Chattanooga, TN
National Provider Identifier
1477546885
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
27446 Issued in TN
Practice address
7011 Shallowford Rd
Suite 106
Chattanooga, TN 37421-6727
Phone
(423) 826-8585
Fax
(423) 826-8588
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20422 ND
Orthopaedic Surgery Physician 207X00000X 27446 TN Primary
Orthopaedic Surgery Physician 207X00000X 034145 GA
Orthopaedic Surgery Physician 207X00000X 0101271210 VA

Addresses

Primary practice location

7011 Shallowford Rd
Suite 106
Chattanooga, TN 37421-6727

Mailing address

PO Box 430
Chattanooga, TN 37401-0430
Phone (423) 826-8585

Other practice location 1

2509 Pleasant Run Dr
Rockingham, VA 22801-8720
Phone (540) 689-5500

Other practice location 2

3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8900

Other identifiers 1

IdentifierTypeStateIssuer
00470115CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102002147 ND Practitioner - Orthopedic Surgery 9234281429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Practice addresses (Care Compare)

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034145GAMDOrthopaedic Surgery Physician
20422NDMDOrthopaedic Surgery Physician
27446TNMDOrthopaedic Surgery Physician
0101271210VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Charity Association Current Accepting new patients
Innovis Health LLC CurrentSince Apr 15, 2025 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Lutheran Charity Association CurrentSince Jan 8, 2024 Accepting new patients
Lutheran Charity Association CurrentSince Jan 8, 2024 Accepting new patients
Lutheran Charity Association Current Accepting new patients
Innovis Health LLC CurrentSince Apr 15, 2025 Accepting new patients
Lutheran Charity Association Past Accepting new patients

Locations

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

2422 20th St SW
Jamestown, ND 58401
Phone (701) 252-1050

Organizations & group practices 8

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1477546885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374010430",
            "telephone_number": "423-826-8585",
            "fax_number": "423-826-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 SHALLOWFORD RD",
            "address_2": "SUITE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216727",
            "telephone_number": "423-826-8585",
            "fax_number": "423-826-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509 Pleasant Run Dr",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018720",
            "country_code": "US",
            "telephone_number": "540-689-5500",
            "fax_number": "757-431-7116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACY",
        "first_name": "JOHN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ND",
            "license": "20422",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TN",
            "license": "27446",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "034145",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101271210",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470115C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.