MARY GRANT
NPI 1790379360
Counselor - Mental Health in Chattanooga, TN

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
6110 SHALLOWFORD RD, CHATTANOOGA, TN 37421(423) 499-1031 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Grant NPPES

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

MARY GRANT (NPI 1790379360) is an individual mental health provider in Chattanooga, Tennessee, licensed in Tennessee (9393) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1790379360
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY GRANT
Location Address6110 SHALLOWFORD RDChattanooga, TN 37421-1894
Mailing Address6110 Shallowford RdChattanooga, TN 37421-1894 · (423) 499-1031
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1790379360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 9393
6110 SHALLOWFORD RD, Chattanooga, TN 37421

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Grant 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 ID8426515610
PECOS Enrollment IDI20260807000319
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Grant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1200 DODSON AVE
Chattanooga, TN 37406
  • Reassigned Medicare billing, Tennessee enrollment
  • 533 clinicians in this Medicare group

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

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.

Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Psychologist (Clinical)
6110 SHALLOWFORD RD, C O CRC
CHATTANOOGA, TN 37421
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Social Worker
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Counselor (Mental Health)
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Marriage & Family Therapist
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421
Counselor
6110 SHALLOWFORD RD
CHATTANOOGA, TN 37421
Counselor (Mental Health)
6110 SHALLOWFORD RD, SUITE B
CHATTANOOGA, TN 37421

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 Mary Grant's NPI number?

The NPI number for Mary Grant is 1790379360. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Mary Grant located?

Mary Grant practices at 6110 Shallowford Rd, Chattanooga, TN 37421. The listed phone number is (423) 499-1031.

What is Mary Grant's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mary Grant enrolled in Medicare?

Yes. Mary Grant 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.

Which organization bills Medicare for Mary Grant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grant reassigns Medicare benefits to Chattanooga Hamilton County Hospital Authority (Chattanooga, TN). The 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 Mary Grant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Grant was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.