KALA GRANT – Primary Care Nurse Practitioner, NPI 1295366987

KALA GRANT is a healthcare provider. based in Athens, Tennessee. specializing in NURSE PRACTITIONER. They hold a License No. 27168 (TN). The NPI Number for KALA GRANT is 1295366987

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KALA GRANT
NPI
1295366987
Phone
Not provided
Address
119 EPPERSON ST
Enumeration Date
31 January 2020
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
4237447585
Graduation Year
2019 (7 years ago)
PAC ID
4082077326
Group Practice PAC ID
2163490319
Professional Enrollment ID
I20231013002025
Address ID
TN373033499AT711XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Provider Addresses for KALA GRANT

  • 119 EPPERSON ST

    ATHENS, TN 373033478

    Phone:

    Type: Mailing

  • 711 COOK DR STE 100

    ATHENS, TN 373033499

    Phone: (423) 744-7585

    Type: Mailing

  • 711 COOK DR

    ATHENS, TN 373033486

    Phone: (423) 744-7585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $217.

Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($58).

Total Amount

$217

General + Research + Ownership

Payments

12

Total payment records

General Amount

$217

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231013002025INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163490319View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Family PracticeTN
Internal MedicineKY
Cardiovascular Disease (Cardiology)TN
General SurgeryPA
Family PracticeTN
Family PracticeOR
Undefined Physician Type (Specify), Nurse PractitionerTN
Hematology, Hospice/Palliative CareTN
Orthopedic SurgeryTN

Reviews

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Frequently asked questions

What NPI should I save for KALA GRANT?
Save NPI 1295366987 if you need a stable reference for KALA GRANT.
Is KALA GRANT's NPI currently valid?
The extract we use shows KALA GRANT as active.
What field does KALA GRANT work in?
You can think of KALA GRANT as practicing within Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KALA GRANT's primary listing?
We display Athens, Tennessee because that is what the record indicates for KALA GRANT.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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