MR. GRADY ROSS ROWE PA NPI 1306506241

NPI Information

  • NPI: 1306506241
  • Provider Name: MR. GRADY ROSS ROWE, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 62 MEDICAL DR STE A
    LINDEN, TN
    ZIP 37096
  • Phone: (315) 892-6009

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NPI Details

MR. Grady Ross Rowe, PA is a medical physician assistant in Linden, TN with 2 years of experience. MR. Grady Ross Rowe, PA NPI is 1306506241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2023

The provider's business location address is:

62 MEDICAL DR STE A
LINDEN, TN
ZIP 37096-305
Phone: (315) 892-6009
Fax: (931) 589-2602

The NPI 1306506241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/20/2021 and was last updated on 10/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes
2363A00000XPhysician AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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