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

Individual provider Physician Assistant · NPI 1689433542

Hannah Grace Gwaltney is a Physician Assistant in Jackson, Tennessee. Qualified in 2024, 2 years ago. Practices with Privia Medical Group Tennessee LLC, a 145-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024
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Practice location Address checks out

620 Skyline Dr
Jackson, TN 38301-3923
Phone: (731) 541-5492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1323 E Wood St, Paris, TN 38242-4421 — (731) 644-2011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6113 (TN)

Record details

NPI number1689433542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2024
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Privia Medical Group Tennessee Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson