Grace Home Primary Care

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5937 Issued in TN

Legal business name

GRACE HOME PRIMARY CARE

Practice address

3500 Dayton Blvd
Chattanooga, TN 37415-4629

Phone

(423) 362-8400

Fax

(423) 362-8399

NPI assigned

Jun 23, 2014

Last updated

Feb 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherry Glover, APNNPI 1598805046

Title

Owner/Provider

Phone

(423) 362-8400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherry L Glover, NP

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1598805046

  GA

  Medicare reassignment Care Compare group Authorized official
• Brenda Waters, NP

  • Nurse Practitioner
  • Cleveland, TN
  • NPI 1134193618
  Medicare reassignment Care Compare group NPD
• Tammy Wingo-Salmond

  • Family Nurse Practitioner
  • Cleveland, TN
  • NPI 1992128656
  Medicare reassignment Care Compare group NPD
• Stacey Dill, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
  • NPI 1720591514
  Medicare reassignment NPD
• Terry Ann Melvin, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Chattanooga, TN
  • NPI 1720191604
  Medicare reassignment NPD
• Alicia S Whitley, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Monroe, GA
  • NPI 1306238035

  TN

  Medicare reassignment NPD
• Mary Lavonne Babian, DC

  • Chiropractor
  • Chattanooga, TN
  • NPI 1881746121
  NPD (past)

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581120000000",
    "number": "1609281260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374154629",
            "telephone_number": "423-362-8400",
            "fax_number": "423-362-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374154629",
            "telephone_number": "423-362-8400",
            "fax_number": "423-362-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "423-362-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "5937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Arlene Gordon, MSSW
• Randall A Gossett, CRNA
• Sharon Tipton Gothard, ACNP
• Daniel Gottlieb, OD
• Grace Ancillary Services, LLC
• Carrie Ann Grace, CRNA
• Jarrett Joel Grace, MD, MBA
• Levi Dakota Grace
• Deborah Stanton Gracia, L.C.S.W., L.D.C.
• John Allen Gracy, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.