Active NPI
Grace Welliver, CPM-TN
- Midwife
- Athens, TN
National Provider Identifier
1588490239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 170
- Practice address
- 208 E Madison Ave
Athens, TN 37303-3646 - Phone
- (423) 252-4555
- Fax
- (423) 370-1799
- NPI assigned
- Sep 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 170 | TN | Primary |
Addresses
Primary practice location
208 E Madison Ave
Athens, TN 37303-3646
Mailing address
PO Box 121
Athens, TN 37371-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170 | TN | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1588490239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "ATHENS",
"state": "TN",
"postal_code": "373710121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033646",
"telephone_number": "423-252-4555",
"fax_number": "423-370-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLIVER",
"first_name": "GRACE",
"credential": "CPM-TN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-10",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TN",
"license": "170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.