GRACE HOME PRIMARY CARE
NPI 1609281260
Nurse Practitioner in Chattanooga, TN

Active since June 23, 2014
3500 DAYTON BLVD, CHATTANOOGA, TN 37415(423) 362-8400(423) 362-8399 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 8, 2020, Aug 11, 2016 (2 updates tracked since 2016).

About Grace Home Primary Care NPPES

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

GRACE HOME PRIMARY CARE (NPI 1609281260) is a healthcare organization registered as a nurse practitioner in Chattanooga, Tennessee and active in the NPI registry since June 2014. The organization lists Sherry Glover, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1609281260
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGRACE HOME PRIMARY CARE
Location Address3500 DAYTON BLVDChattanooga, TN 37415-4629
Mailing Address3500 Dayton BlvdChattanooga, TN 37415-4629 · (423) 362-8400 · Fax (423) 362-8399
Fax(423) 362-8399
Organization SubpartNo
Authorized OfficialSherry GloverOwner/provider · (423) 362-8400
Enumeration DateJune 23, 2014
Last NPPES UpdateFebruary 8, 20202 updates tracked since enumeration
✔ NPI 1609281260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 5937
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.
3500 DAYTON BLVD, Chattanooga, TN 37415

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Home Primary Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Grace Home Primary Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1598805046
3500 DAYTON BLVD STE 2109
Chattanooga, TN 37415
(423) 362-8400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1720591514
2525 DESALES AVE
Chattanooga, TN 37404
(423) 495-4325
✔ PECOS✔ Accepts Medicare5.3 mi
Internal Medicine
NPI 1720191604
5616 BRAINERD RD SUITE 108
Chattanooga, TN 37411
(423) 803-1379
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1992128656
1970 JORDAN AVE NW
Cleveland, TN 37311
(423) 790-7662
✔ PECOS24 mi
Nurse Practitioner
NPI 1134193618
915 CLINGAN RIDGE DR NW
Cleveland, TN 37312
(423) 339-3340
✔ PECOS✔ Accepts Medicare24 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Home Primary Care's NPI number?

The NPI number for Grace Home Primary Care is 1609281260. It was assigned to this organization in the NPPES registry on June 23, 2014.

Where is Grace Home Primary Care located?

Grace Home Primary Care is located at 3500 Dayton Blvd, Chattanooga, TN 37415. The listed phone number is (423) 362-8400.

What is Grace Home Primary Care's specialty?

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

Is Grace Home Primary Care enrolled in Medicare?

Yes. Grace Home Primary Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Home Primary Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Grace Home Primary Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grace Home Primary Care was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.