GRACE FAMILY PRACTICE
NPI 1043254360
Family Medicine in Macon, GA

Q: What is Coliseum Health Group, LLC's NPI number?

The NPI number for Coliseum Health Group, LLC is 1043254360. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Grace Family Practice.

Q: What is Coliseum Health Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 16, 2006

420 CHARTER BLVD, SUITE 304, MACON, GA 31210(478) 405-0280 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Family Practice NPPES

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

GRACE FAMILY PRACTICE (NPI 1043254360) is a healthcare organization registered as a family medicine in Macon, Georgia and active in the NPI registry since June 2006. The organization lists Mark Pickett, Vp, as its authorized official.

NPPES Registry Identity

NPI1043254360

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLISEUM HEALTH GROUP, LLC

Location Address420 CHARTER BLVD, SUITE 304Macon, GA 31210-4854

Mailing Address420 Charter Blvd, Suite 304Macon, GA 31210-4854 · (478) 405-0280

Phone(478) 405-0280

Organization SubpartNo

Authorized OfficialMark PickettVp · (478) 405-0280

Enumeration DateJune 16, 2006

Last NPPES UpdateAugust 29, 2007

✔ NPI 1043254360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

420 CHARTER BLVD, Macon, GA 31210

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Other Names 1

Doing Business AsGrace Family Practice

Other Identifiers 2

Medicare ID-Type UnspecifiedGRP6049GA · Cahaba Medicare/ Ga Medic

Medicare ID-Type UnspecifiedDA8799GA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WE CARE MEDICAL PRACTICE MD PC

Internal Medicine (Nephrology)

420 CHARTER BLVD, STE 306
MACON, GA 31210

Bibb County (478) 757-9705

P O HOLLIDAY III FAMILY LEASING CO LLC

Durable Medical Equipment & Medical Supplies

420 CHARTER BLVD, STE 402
MACON, GA 31210

Bibb County (478) 474-0394

DR. ALAN PAUL DEESE M.D.

Internal Medicine

420 CHARTER BLVD, SUITE 405
MACON, GA 31210

Bibb County (478) 741-7441

JOSEPH J BURNETTE M.D.

Surgery

420 CHARTER BLVD, SUITE 302
MACON, GA 31210

Bibb County (478) 330-6755

JOSEPH BURNETTE, LLC

Surgery

420 CHARTER BLVD, SUITE 320
MACON, GA 31210

Bibb County (478) 330-6755

DR. VALERIE TERESA JONES-FREEMAN MD

Internal Medicine (Nephrology)

420 CHARTER BLVD, STE 306
MACON, GA 31210

Bibb County (478) 757-9705

PETER O. HOLLIDAY, III M.D. P.C.

Neurological Surgery

420 CHARTER BLVD, STE 402
MACON, GA 31210

Bibb County (478) 474-0394

VITO JOHN BAGNATO M.D.

Surgery

420 CHARTER BLVD, SUITE 103
MACON, GA 31210

Bibb County (478) 471-8484

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 Coliseum Health Group, LLC's NPI number?

The NPI number for Coliseum Health Group, LLC is 1043254360. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Grace Family Practice.

Where is Coliseum Health Group, LLC located?

Coliseum Health Group, LLC is located at 420 Charter Blvd Suite 304, Macon, GA 31210. The listed phone number is (478) 405-0280.

What is Coliseum Health Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Coliseum Health Group, LLC was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.