GRACE FAMILY PRACTICE – NPI #1043254360
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

GRACE FAMILY PRACTICE is a provider located in MACON, GA. NPPES has assigned the NPI number 1043254360 to GRACE FAMILY PRACTICE on June 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRACE FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is COLISEUM HEALTH GROUP, LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Aug 29, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE FAMILY PRACTICE below.

NPI Profile for
COLISEUM HEALTH GROUP, LLC

NPI Number
1043254360
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COLISEUM HEALTH GROUP, LLC
Doing Business As (dba): GRACE FAMILY PRACTICE
Primary location
420 CHARTER BLVD
SUITE 304
MACON, GA 31210-4854
Phone: (478) 405-0280 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK PICKETT
VP
Phone: (478) 405-0280
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.