Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Grant Kneeland Studebaker, MD

Individual provider Family Medicine Physician · NPI 1265774236

Dr. Grant Kneeland Studebaker, MD is a Family Practice in Jackson, Tennessee. Qualified in 2013, 13 years ago. Practices with Pathways of Tennessee Inc, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

294 Summar Dr
Jackson, TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 410-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 54849 (TN)

Record details

NPI number1265774236
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2013
Last updated in NPPESAugust 24, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pathways Of Tennessee Inc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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