GLENN GRIMSLEY
NPI 1790596856
Physician Assistant in Harrogate, TN

Active since January 17, 2025PECOS EnrolledAccepts Medicare Assignment
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752(423) 869-3611 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Glenn Grimsley NPPES

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

GLENN GRIMSLEY (NPI 1790596856) is an individual physician assistant in Harrogate, Tennessee and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790596856
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGLENN GRIMSLEY
Location Address6965 CUMBERLAND GAP PKWYHarrogate, TN 37752-8245
Mailing Address4924 Nehemiah LnKnoxville, TN 37938-2531
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1790596856 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.

6965 CUMBERLAND GAP PKWY, Harrogate, TN 37752

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

Glenn Grimsley 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 ID3779099197
PECOS Enrollment IDI20250723000256
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37752 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.

Preventive Medicine (Public Health & General Preventive Medicine)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Family Medicine
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Specialist/Technologist (Athletic Trainer)
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790596856, enumerated as an "individual" on January 17, 2025.

The provider is located at 6965 CUMBERLAND GAP PKWY HARROGATE, TN 37752 and the phone number is (423) 869-3611.

Physician Assistant with taxonomy code 363A00000X.