GRACEOL CORPORATION
NPI 1306373188
Family Medicine - Adult Medicine in Conyers, GA

Active since May 11, 2017
1035 HONEY CREEK RD, CONYERS, GA 30013(404) 839-2688(770) 922-9498 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 29, 2017, May 11, 2017 (3 updates tracked since 2017).

About Graceol Corporation NPPES

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

GRACEOL CORPORATION (NPI 1306373188) is a healthcare organization registered as an adult medicine in Conyers, Georgia and active in the NPI registry since May 2017. The organization lists Yemi J. Sowemimo, Owner, as its authorized official.

NPPES Registry Identity

NPI1306373188
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameGRACEOL CORPORATION
Location Address1035 HONEY CREEK RDConyers, GA 30013
Mailing Address1035 Honey Creek RoadConyers, GA 30013 · (404) 839-2688 · Fax (770) 922-9498
Fax(770) 922-9498
Organization SubpartNo
Authorized OfficialYemi J. SowemimoOwner · (404) 839-2688
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1306373188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1035 HONEY CREEK RD, Conyers, GA 30013

Other Identifiers 3

Other1790107381GA · Npi
Other1912016411NY · Npi
Other1639177066GA · Npi

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

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 Graceol Corporation's NPI number?

The NPI number for Graceol Corporation is 1306373188. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Graceol Corporation located?

Graceol Corporation is located at 1035 Honey Creek Rd, Conyers, GA 30013. The listed phone number is (404) 839-2688.

What is Graceol Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Graceol Corporation was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.