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GRACE INTERNAL MEDICINE, LLC
NPI 1841741196
Physician Assistant - Medical in Johnson City, TN

Active since October 21, 2016
2514 WESLEY ST, SUITE 102, JOHNSON CITY, TN 37601(423) 282-2700(423) 282-2802 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Internal Medicine, Llc NPPES

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

GRACE INTERNAL MEDICINE, LLC (NPI 1841741196) is a healthcare organization registered as a medical in Johnson City, Tennessee and active in the NPI registry since October 2016. The organization lists Whitney Diana Davis, Physician Assistant/owner, as its authorized official.

NPPES Registry Identity

NPI1841741196
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameGRACE INTERNAL MEDICINE, LLC
Location Address2514 WESLEY ST, SUITE 102Johnson City, TN 37601-1764
Mailing Address2514 Wesley St, Suite 102Johnson City, TN 37601-1764 · (423) 282-2700 · Fax (423) 282-2802
Phone(423) 282-2700
Fax(423) 282-2802
Organization SubpartYes
Authorized OfficialWhitney Diana DavisPhysician Assistant/owner · (423) 282-2700
Enumeration DateOctober 21, 2016
✔ NPI 1841741196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TN · 2497
2514 WESLEY ST, Johnson City, TN 37601
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL FAMILY MEDICINE
Nurse Practitioner (Family)
2514 WESLEY ST, SUITE 102
JOHNSON CITY, TN 37601
Washington County (423) 631-0340
LINKED COMMUNITY SERVICES
Community/Behavioral Health
2514 WESLEY ST, SUITE 102
JOHNSON CITY, TN 37601
Washington County (423) 631-0622
MR. BRYAN DANIEL LORCH P.A.
Physician Assistant
2514 WESLEY ST, 102
JOHNSON CITY, TN 37601
Washington County (423) 282-8070

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 Grace Internal Medicine, LLC's NPI number?

The NPI number for Grace Internal Medicine, LLC is 1841741196. It was assigned to this organization in the NPPES registry on October 21, 2016.

Where is Grace Internal Medicine, LLC located?

Grace Internal Medicine, LLC is located at 2514 Wesley St Suite 102, Johnson City, TN 37601. The listed phone number is (423) 282-2700.

What is Grace Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Grace Internal Medicine, LLC was last updated on October 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.