Heather E. Grieve, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2105 Issued in TN

Practice address

130 Independence LN
La Follette, TN 37766-3073

Phone

(423) 563-7666

Fax

(423) 562-5373

NPI assigned

Mar 20, 2012

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Talbott, TN
  • NPI 1134128820
  Medicare reassignment NPD
• Summit Medical Group, PLLC

  dba Cool Springs Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1659090298
  Medicare reassignment NPD
• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
  • NPI 1699666404
  NPD
• Summit Medical Group, PLLC

  dba Summit Express Clinic at Bearden Hill

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1942371398
  NPD
• Summit Medical Group PLLC

  dba Summit Medical Group of Oak Ridge

  • Family Medicine Physician
  • Oak Ridge, TN
  • NPI 1437238797
  NPD (past)
• Summit Medical Group,PLLC

  dba Summit Medical Group of Cookeville

  • Internal Medicine Physician
  • Cookeville, TN
  • NPI 1588362164
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1679848964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-563-7666",
            "fax_number": "423-562-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-563-7666",
            "fax_number": "423-562-5373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7744 Conner Road",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378493568",
            "country_code": "US",
            "telephone_number": "865-546-9751",
            "fax_number": "865-362-6681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIEVE",
        "first_name": "HEATHER",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Skyler Gambill, PMHNP-BC
• Genesis Eldercare Physician Services LLC
• Theresa D Gergen, OTR
• Grace Rehabilitation Center, Inc.
• Tommy Lynn Green
• Robert Jess Gross, RPH
• James Charles Gubitosa, DO
• Ronald Daker Hall III, MD
• Safwan Hamwi, M.D.
• David Evans Hanson, PHD

• Physician Assistant in La Follette, TN
• Providers in La Follette, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.