Grace Mountain Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE MOUNTAIN MEDICAL, LLC

Practice address

115 Lee Ave Ste 101
Pikeville, KY 41501-2047

Phone

(606) 727-5296

NPI assigned

Aug 23, 2019

Organization subpart

No

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

Authorized official

Name

Tonya Renee Shepherd Hatfield, APRN

Title

Co-Owner

Phone

(606) 226-8677

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1821645896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SALTLICK RD",
            "city": "HUEYSVILLE",
            "state": "KY",
            "postal_code": "416406653",
            "telephone_number": "606-226-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LEE AVE STE 101",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415012047",
            "telephone_number": "606-727-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MOUNTAIN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD HATFIELD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "606-226-8677",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Goff
• Shirley H Goff, APRN
• Sarah Goins, PHARMD
• Patricia Ann Gooch, R.PH.
• Kimberly Ann Goodman, FNP-C
• Grady J Stephens PSC
• Esther Lee Greco, D.O.
• Green Valley Rural Clinics, LLC
• Pamela J Greenlee, RPH
• Laura E Griffin, D.O.

• Family Medicine Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.