GRAYSON L LANDERS PA-C
NPI 1629889290
Physician Assistant in Chattanooga, TN

Q: What is Grayson Landers's NPI number?

The NPI number for Grayson Landers is 1629889290. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Q: What is Grayson Landers's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Grayson Landers was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since January 14, 2025PECOS EnrolledAccepts Medicare Assignment

2525 DESALES AVE, CHATTANOOGA, TN 37404 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2025, Feb 18, 2025 (2 updates tracked since 2025).

On this page

About Grayson L Landers Pa-c NPPES

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

GRAYSON L LANDERS PA-C (NPI 1629889290) is an individual physician assistant in Chattanooga, Tennessee and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2024).

NPPES Registry Identity

NPI1629889290

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGRAYSON L LANDERSCredential: PA-C

Location Address2525 DESALES AVEChattanooga, TN 37404-1161

Mailing Address2525 Desales AveChattanooga, TN 37404-1161 · (423) 495-2525

Sole ProprietorYes

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2024

Enumeration DateJanuary 14, 2025

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1629889290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2525 DESALES AVE, Chattanooga, TN 37404

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grayson L Landers Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820507411

PECOS Enrollment IDI20250604002461

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440091

Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. COURTNEY ELIZABETH PEARSON PHARMD, MPH, BCPS

Pharmacist