Healthcare Provider Details

I. General information

NPI: 1376249219
Provider Name (Legal Business Name): GRAHM W PRITCHETT PA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2023
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 OLD WEISGARBER RD
KNOXVILLE TN
37909-1293
US

IV. Provider business mailing address

8320 E WALKER SPRINGS LN STE 200
KNOXVILLE TN
37923-3120
US

V. Phone/Fax

Practice location:
  • Phone: 865-558-4400
  • Fax: 865-558-4421
Mailing address:
  • Phone: 865-769-4500
  • Fax: 865-769-4501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5398
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number5398
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: