GRUNDY COUNTY HEALTH SERVICES, INC.
NPI 1770588683
Nurse Practitioner - Family in Tracy City, TN

Q: What is Grundy County Health Services, Inc.'s NPI number?

The NPI number for Grundy County Health Services, Inc. is 1770588683. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Tracy Clinic.

Q: What is Grundy County Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 16, 2005

740 MAIN ST, TRACY CITY, TN 37387(931) 592-4242(931) 592-4245 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2025, Dec 21, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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About Grundy County Health Services, Inc. NPPES

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

GRUNDY COUNTY HEALTH SERVICES, INC. (NPI 1770588683), doing business as Tracy Clinic, is a healthcare organization registered as a family in Tracy City, Tennessee and active in the NPI registry since June 2005. The organization lists Devon Brea Langley, Nurse Practitioner- Provider, as its authorized official.

NPPES Registry Identity

NPI1770588683

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameGRUNDY COUNTY HEALTH SERVICES, INC.

Location Address740 MAIN STTracy City, TN 37387-4020

Mailing Address740 Main St, Po Box 1449Tracy City, TN 37387-1449 · (931) 592-4242 · Fax (931) 592-4245

Phone(931) 592-4242

Fax(931) 592-4245

Organization SubpartNo

Authorized OfficialDevon Brea LangleyNurse Practitioner- Provider · (931) 592-4242

Enumeration DateJune 16, 2005

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1770588683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

740 MAIN ST, Tracy City, TN 37387

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Other Names 1

Doing Business AsTracy Clinic

Other Identifiers 2

MedicaidQ065726TN

Other1750962528TN · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grundy County Health Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grundy County Health Services, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Devon Langley, FNP-C

Nurse Practitioner

NPI 1750962528

740 MAIN ST
Tracy City, TN 37387

(931) 592-4242

✔ PECOSSame address

Eva Black, FNP-BC

Nurse Practitioner

NPI 1134765886

376 COMMERCE AVE
Carrollton, AL 35447

(205) 614-6228

✔ PECOS✔ Accepts Medicare193 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 Grundy County Health Services, Inc.'s NPI number?

The NPI number for Grundy County Health Services, Inc. is 1770588683. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Tracy Clinic.

Where is Grundy County Health Services, Inc. located?

Grundy County Health Services, Inc. is located at 740 Main St, Tracy City, TN 37387. The listed phone number is (931) 592-4242.

What is Grundy County Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Grundy County Health Services, Inc. enrolled in Medicare?

Yes. Grundy County Health Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grundy County Health Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grundy County Health Services, Inc.. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grundy County Health Services, Inc. was last updated on April 1, 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.