GRACE ADVANCED WELLNESS, LLC
NPI 1104536580
Nurse Practitioner in Hohenwald, TN

Q: What is Grace Advanced Wellness, LLC's NPI number?

The NPI number for Grace Advanced Wellness, LLC is 1104536580. It was assigned to this organization in the NPPES registry on November 28, 2022.

Q: What is Grace Advanced Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 28, 2022CLIA 44D2161208 · Microscopy

543 E MAIN ST, HOHENWALD, TN 38462(931) 295-3547(949) 561-5674 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Grace Advanced Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ADVANCED WELLNESS, LLC (NPI 1104536580) is a healthcare organization registered as a nurse practitioner in Hohenwald, Tennessee and active in the NPI registry since November 2022. The organization holds a CLIA Microscopy certificate valid through January 28, 2027 and lists Susan Hensley, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1104536580

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGRACE ADVANCED WELLNESS, LLC

Location Address543 E MAIN STHohenwald, TN 38462-2007

Mailing Address543 E Main StHohenwald, TN 38462-2007 · (931) 295-3547 · Fax (949) 561-5674

Phone(931) 295-3547

Fax(949) 561-5674

Organization SubpartNo

Authorized OfficialSusan HensleyOwner/provider · (931) 295-3547

Enumeration DateNovember 28, 2022

NPPES CertifiedNovember 28, 2022

✔ NPI 1104536580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X

Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X

543 E MAIN ST, Hohenwald, TN 38462

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 44D2161208

Grace Advanced Wellness, LLC · Hohenwald, TN

Active · expires Jan 28, 2027

CLIA Number44D2161208

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorSusan A. Hensley

Laboratory Phone(931) 295-3547

Laboratory LocationGrace Advanced Wellness, LLC543 E Main Street, Hohenwald, TN 38462

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN ANNETTE HENSLEY CNM

Advanced Practice Midwife

543 E MAIN ST
HOHENWALD, TN 38462

Lewis County (931) 295-3547

MRS. MISTI LANE RISNER FNP

Family Medicine

543 E MAIN ST
HOHENWALD, TN 38462

Lewis County (931) 799-6765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Advanced Wellness, LLC's NPI number?

The NPI number for Grace Advanced Wellness, LLC is 1104536580. It was assigned to this organization in the NPPES registry on November 28, 2022.

Where is Grace Advanced Wellness, LLC located?

Grace Advanced Wellness, LLC is located at 543 E Main St, Hohenwald, TN 38462. The listed phone number is (931) 295-3547.

What is Grace Advanced Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Grace Advanced Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2161208) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Advanced Wellness, LLC was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.