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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: August 23, 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
Phone(423) 869-3611
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
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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.

DOAA OWENS
Registered Nurse
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
LUCAS ALEXANDER RICE
Registered Nurse
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
DANIEL RAYMOND WOOD
Registered Nurse
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3611
PAULA ARCHER DO
Neuromusculoskeletal Medicine & OMM
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7447
JEROD K WILLIAMS
Student in an Organized Health Care Education/Training Program
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-6723
MELANIE AHART PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-7200
LAUREN CONTRERAS PA-C
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (323) 527-7525
RANDI MICHELLE JOHNSON PA
Physician Assistant
6965 CUMBERLAND GAP PKWY
HARROGATE, TN 37752
Claiborne County (423) 869-3600

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 Glenn Grimsley's NPI number?

The NPI number for Glenn Grimsley is 1790596856. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Glenn Grimsley located?

Glenn Grimsley practices at 6965 Cumberland Gap Pkwy, Harrogate, TN 37752. The listed phone number is (423) 869-3611.

What is Glenn Grimsley's specialty?

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

Is Glenn Grimsley enrolled in Medicare?

Yes. Glenn Grimsley 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.

When was this NPI record last updated?

The NPPES record for Glenn Grimsley was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.