GRACEOL CORPORATION – NPI #1306373188
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

GRACEOL CORPORATION is a provider located in CONYERS, GA. NPPES has assigned the NPI number 1306373188 to GRACEOL CORPORATION on May 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 GRACEOL CORPORATION below.

NPI Profile for
GRACEOL CORPORATION

NPI Number
1306373188
Enumeration Date

(more than 9 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
GRACEOL CORPORATION
Primary location
1035 HONEY CREEK RD
CONYERS, GA 30013
Phone: (404) 839-2688 Fax: (770) 922-9498
Mailing address
1035 HONEY CREEK ROAD
CONYERS, GA 30013
Phone: (404) 839-2688 Fax: (770) 922-9498
Organization Subpart
No
Authorized Official
YEMI SOWEMIMO
OWNER
Phone: (404) 839-2688
Updated
Identifiers

Identifiers for GRACEOL CORPORATION

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
OTHERNPIGA1790107381
OTHERNPIGA1639177066
OTHERNPINY1912016411
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
207QA0505X
- Family Medicine / Adult 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.