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NPI · 1629889290 · NPPES-sourced

Grayson Landers PA-C

ActivePhysician Assistant
NPI Number
1629889290
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
Not listed
Primary practice line
Last Updated
Enumerated
Primary practice addressTN · 37404-1161
2525 Desales AveChattanooga, TN 37404-1161
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About this NPIWhat this record shows.

NPI 1629889290 is registered to Grayson Landers PA-C, a Physician Assistant practising at 2525 Desales Ave in Chattanooga, Tennessee. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Grayson Landers PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2025.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Grayson Landers PA-C accepts. To confirm in-network status with your specific health plan, contact Grayson Landers PA-C directly.

Frequently asked

Yes. NPI 1629889290 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at the phone number on file.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Grayson Landers PA-C is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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2 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Tennessee.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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