Active NPI
Anthony Grady
- Otolaryngology Physician
- Johnson City, TN
National Provider Identifier
1700318524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 64473
- Practice address
- 2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977 - Phone
- (423) 929-9101
- Fax
- (423) 434-2032
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 64473 | TN | Primary |
Addresses
Primary practice location
2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977
Mailing address
2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977
Phone (423) 929-9101
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220709000437 | TN | Practitioner - Otolaryngology | 8426438318 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Tennessee, HSC, College of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2340 Knob Creek Rd
Suite 704
Johnson City, TN 37604-2977
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.89 of 100
- Quality
- 62.92
- Improvement activities
- 40
- Cost
- 79.08
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64473 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ear Nose and Throat Associates PC | Otolaryngology | Current | Accepting new patients |
Locations
2340 Knob Creek Rd
Ste 704
Johnson City, TN 37604
Phone (423) 929-9101
Interoperability endpoints
- anthonygrady@entatn.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Johnson City, TN
- NPI 1992734644
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Woodridge Hospital
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
dba Franklin Woods Community Hospital
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
dba Johnson City Medical Center
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
dba Johnson City Medical Center
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1700318524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 KNOB CREEK RD STE 704",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042977",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 KNOB CREEK RD STE 704",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042977",
"telephone_number": "423-929-9101",
"fax_number": "423-434-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADY",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "64473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.