GRADY HEALTH SYSTEM
NPI 1013211564
General Acute Care Hospital - Critical Access in Fayetteville, GA

Active since December 26, 2010
180 VICTORIA DR, FAYETTEVILLE, GA 30214(404) 379-7052 Get Directions Write a Review

NPPES record last updated: December 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grady Health System NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADY HEALTH SYSTEM (NPI 1013211564) is a healthcare organization registered as a critical access in Fayetteville, Georgia and active in the NPI registry since December 2010. The organization lists Latoya Booth Wise, Anesthetist, as its authorized official.

NPPES Registry Identity

NPI1013211564
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameGRADY HEALTH SYSTEM
Location Address180 VICTORIA DRFayetteville, GA 30214-1163
Mailing Address180 Victoria DrFayetteville, GA 30214-1163 · (404) 379-7052
Organization SubpartNo
Authorized OfficialLatoya Booth WiseAnesthetist · (404) 379-7052
Enumeration DateDecember 26, 2010
NPI 1013211564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License Licensed in GA · 161834
180 VICTORIA DR, Fayetteville, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady Health System's NPI number?

The NPI number for Grady Health System is 1013211564. It was assigned to this organization in the NPPES registry on December 26, 2010.

Where is Grady Health System located?

Grady Health System is located at 180 Victoria Dr, Fayetteville, GA 30214. The listed phone number is (404) 379-7052.

What is Grady Health System's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

When was this NPI record last updated?

The NPPES record for Grady Health System was last updated on December 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.