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GRACE MEDICAL CLINIC
NPI 1093887168
Internal Medicine in Griffin, GA

Active since November 14, 2006CLIA 11D1016701 · Waiver
230 W COLLEGE ST, B, GRIFFIN, GA 30224(678) 688-1155(678) 688-5071 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Medical Clinic NPPES

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

GRACE MEDICAL CLINIC (NPI 1093887168) is a healthcare organization registered as an internal medicine in Griffin, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Ehi Philip Osehobo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1093887168
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACE MEDICAL CLINIC
Location Address230 W COLLEGE ST, BGriffin, GA 30224-4121
Mailing Address230 W College St, BGriffin, GA 30224-4121 · (678) 688-1155 · Fax (678) 688-5071
Phone(678) 688-1155
Fax(678) 688-5071
Organization SubpartNo
Authorized OfficialEhi Philip OsehoboMedical Director · (678) 688-1155
Enumeration DateNovember 14, 2006
Last NPPES UpdateAugust 11, 2010
✔ NPI 1093887168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 049075
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
230 W COLLEGE ST, Griffin, GA 30224
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Other Identifiers 3

Medicaid187778601AGA
Medicare UPINH33567GA
Medicare ID-Type Unspecified11BDWWZGA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1016701

Grace Medical Clinic PC · Griffin, GA
Active · expires Sep 4, 2027
CLIA Number11D1016701
Laboratory TypePhysician Office
Certificate Effective DateSeptember 5, 2025
Certificate Expiration DateSeptember 4, 2027
Laboratory DirectorEhi Philip Osehobo MD
Laboratory Phone(678) 688-1155
Laboratory LocationGrace Medical Clinic PC230 B West College Street, Griffin, GA 30224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. APPASWAMY M GOWDA MD
Internal Medicine (Gastroenterology)
230 W COLLEGE ST, SUITE C
GRIFFIN, GA 30224
Spalding County (770) 228-9020

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 Grace Medical Clinic's NPI number?

The NPI number for Grace Medical Clinic is 1093887168. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Grace Medical Clinic located?

Grace Medical Clinic is located at 230 W College St B, Griffin, GA 30224. The listed phone number is (678) 688-1155.

What is Grace Medical Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Grace Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1016701) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Medical Clinic was last updated on August 11, 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.