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NPI · 1083124671 · NPPES-sourced

Grace Family Practice Clinic, P.C.

ActiveFamily Medicine
NPI Number
1083124671
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(731) 288-0911
License TN · MD35727
Last Updated
About 8 years ago (Oct 2017)
Enumerated 2017-10-09
Primary practice addressTN · 38024-2074
1716 Parr Ave Ste DDyersburg, TN 38024-2074
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About this NPIWhat this record shows.

NPI 1083124671 is registered to Grace Family Practice Clinic, P.C., a healthcare organisation classified as "Family Medicine" and located at 1716 Parr Ave Ste D in Dyersburg, Tennessee. The organisation's authorised official is Monique Casey-Bolden. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2017-10-09
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Grace Family Practice Clinic, P.C. accepts. To confirm in-network status with your specific health plan, contact Grace Family Practice Clinic, P.C. directly at (731) 288-0911.

Frequently asked

Yes. NPI 1083124671 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (731) 288-0911.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Grace Family Practice Clinic, P.C. is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated2017-10
Enumerated2017-10-09
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Tennessee.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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