Individual provider Active NPI

Grace Caroline Timmis, DO

  • Family Medicine Physician
  • Rogersville, TN
National Provider Identifier
1679262471
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6892 Issued in TN
Practice address
309 E Main St
Rogersville, TN 37857-3313
Phone
(423) 615-9591
Fax
(423) 633-1282
NPI assigned
May 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6892 TN Primary

Addresses

Primary practice location

309 E Main St
Rogersville, TN 37857-3313

Mailing address

309 E Main St
Rogersville, TN 37857-3313
Phone (828) 429-7806

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230807004004 TN Order and Referring Only - Family PracticePractitioner - Family Practice 2961863949

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: grace.timmis.1@15627.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1679262471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573313",
            "telephone_number": "828-429-7806",
            "fax_number": "423-633-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573313",
            "telephone_number": "423-615-9591",
            "fax_number": "423-633-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMIS",
        "first_name": "GRACE",
        "middle_name": "CAROLINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.