Active NPI
Tracy Gibson Grabman, M.D.
- Child & Adolescent Psychiatry Physician
- Knoxville, TN
National Provider Identifier
1720374481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 54387
- Practice address
- 2018 Clinch Ave
Knoxville, TN 37916-2301 - Phone
- (865) 541-8000
- Fax
- (865) 633-4808
- NPI assigned
- Jun 21, 2011
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 54387 | TN | Primary |
Addresses
Primary practice location
2018 Clinch Ave
Knoxville, TN 37916-2301
Mailing address
PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895
Other practice location 1
2100 Clinch Avenue Suite 220
Knoxville, TN 37916-2298
Phone (865) 343-6976
Other practice location 2
2100 Clinch Avenue Suite 410
Knoxville, TN 37916
Phone (865) 343-6976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q022947 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Ross McNabb Center | Past | Accepting new patients | |
| East Tennessee Children'S Hospital Association, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Knoxville, TN
- NPI 1912649518
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Knoxville, TN
- NPI 1558799361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1720374481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15004",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379015004",
"telephone_number": "865-541-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 CLINCH AVE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162301",
"telephone_number": "865-541-8000",
"fax_number": "865-633-4808"
}
],
"practiceLocations": [
{
"address_1": "2100 Clinch Avenue Suite 220",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379162298",
"country_code": "US",
"telephone_number": "865-343-6976",
"fax_number": "877-554-2891",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Clinch Avenue Suite 410",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "37916",
"country_code": "US",
"telephone_number": "865-343-6976",
"fax_number": "877-554-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRABMAN",
"first_name": "TRACY",
"middle_name": "GIBSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TN",
"license": "54387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022947",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.