GRACE MEDICAL PRACTICE LTD – NPI #1396070744
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.

GRACE MEDICAL PRACTICE LTD is a provider located in EAST POINT, GA. NPPES has assigned the NPI number 1396070744 to GRACE MEDICAL PRACTICE LTD on October 02, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 MEDICAL PRACTICE LTD below.

NPI Profile for
GRACE MEDICAL PRACTICE LTD

NPI Number
1396070744
Enumeration Date

(more than 16 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
GRACE MEDICAL PRACTICE LTD
Primary location
1136 CLEVELAND AVE STE 309
EAST POINT, GA 30344-3618
Phone: (404) 763-1240 Fax: (404) 393-6524
Mailing address
PO BOX 20156
ATLANTA, GA 30325-0156
Phone: (404) 861-0291 Fax: (404) 393-6524
Organization Subpart
No
Authorized Official
FIDELIA OSINUBI
CEO
Phone: (404) 861-0291
Updated
Identifiers

Identifiers for GRACE MEDICAL PRACTICE LTD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBIRTH DATEGA06/11/1956
MEDICAIDGA778620923A
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)
GA 001305

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.