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CLARA GRACE REYNOLDS
NPI 1669202743
Physician Assistant in Johnson City, TN

Active since August 05, 2024PECOS EnrolledAccepts Medicare Assignment
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-6940 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 17, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Clara Grace Reynolds NPPES

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

CLARA GRACE REYNOLDS (NPI 1669202743) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (6311) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669202743
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLARA GRACE REYNOLDS
Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604-2641
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 794-5520 · Fax (423) 282-6940
Phone(423) 794-5520
Fax(423) 282-6940
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1669202743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 6311
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.
301 MED TECH PKWY STE 240, Johnson City, TN 37604
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Secondary Practice Locations 2

Location 1444 Clinchfield St Ste 201Kingsport, TN 37660-3863 · Phone (423) 230-2100 · Fax (423) 230-2112
Location 23321 Fort Henry DrKingsport, TN 37664-4023 · Phone (423) 579-6673

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

Clara Grace Reynolds 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 ID6406386580
PECOS Enrollment IDI20250204002835
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 5

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

ELIZABETH A PETTEY NP
Nurse Practitioner
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
DR. JEREMY NATHAN ELLIOTT DO
Family Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
ANNA LYNN DUNN DO
Family Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
LANA NGO PHARMD
Pharmacist
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
DR. MARY J GIBSON MD
Internal Medicine
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 341-6436
MRS. MADONNA L LAFFEY APRN
Nurse Practitioner (Family)
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
SARAH ASHLEY MILLER PA-C
Physician Assistant
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520
JUDITH L DAY FNP
Nurse Practitioner
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 37604
Washington County (423) 794-5520

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 Clara Reynolds's NPI number?

The NPI number for Clara Reynolds is 1669202743. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Clara Reynolds located?

Clara Reynolds practices at 301 Med Tech Pkwy Ste 240, Johnson City, TN 37604. The listed phone number is (423) 794-5520.

What is Clara Reynolds's specialty?

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

Is Clara Reynolds enrolled in Medicare?

Yes. Clara Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Clara Reynolds affiliated with any hospitals?

According to CMS data, Clara Reynolds is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center, Greeneville Community Hospital, Johnson City Medical Center and Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Clara Reynolds was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.