1. Home
  2. Directory
  3. Tennessee
  4. Jackson
  5. Physician Assistant
  6. NPI Profile

HANNAH GRACE GWALTNEY
NPI 1689433542
Physician Assistant in Jackson, TN

Active since March 14, 2024PECOS EnrolledAccepts Medicare Assignment
620 SKYLINE DR, JACKSON, TN 38301(731) 541-5492 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, Jul 23, 2024 (2 updates tracked since 2024).

About Hannah Grace Gwaltney NPPES

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

HANNAH GRACE GWALTNEY (NPI 1689433542) is an individual physician assistant in Jackson, Tennessee, licensed in Tennessee (6113) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689433542
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNAH GRACE GWALTNEY
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing Address120 Castleton CvParis, TN 38242-5938 · (731) 336-8803
Phone(731) 541-5492
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 14, 2024
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1689433542 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 · 6113
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.
620 SKYLINE DR, Jackson, TN 38301
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ095576TN

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

Hannah Grace Gwaltney 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 ID3072046986
PECOS Enrollment IDI20241031000517
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
59 services59 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440132
Location301 Tyson AvParis, TN 38242 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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.

ASHLEY BROOKE OLDHAM PORTER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-6026
ADAM BOYD VAUGHN
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
MS. JOHNETTA NEWSON OT
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
MORGAN JANAE MASON
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-5000
LYDIA BUTTS PHARMD
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-9295
DR. WILLIAM TYLER HAYDEN M.D.
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 343-0886
COURTNEY BRUSH APRN, FNP
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-6900
BRENDAN MCKINNEY
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301
Madison County (731) 541-7070

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 Hannah Gwaltney's NPI number?

The NPI number for Hannah Gwaltney is 1689433542. It was assigned to this individual provider in the NPPES registry on March 14, 2024.

Where is Hannah Gwaltney located?

Hannah Gwaltney practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-5492.

What is Hannah Gwaltney's specialty?

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

Is Hannah Gwaltney enrolled in Medicare?

Yes. Hannah Gwaltney 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 Hannah Gwaltney affiliated with any hospitals?

According to CMS data, Hannah Gwaltney is affiliated with Jackson-Madison County General Hospital and Henry County Medical Center.

When was this NPI record last updated?

The NPPES record for Hannah Gwaltney was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.