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GRACEFUL AGING,PC
NPI 1316259013
Family Medicine - Geriatric Medicine in Fayetteville, NC

Active since July 09, 2010
2732 BARDOLINO DR, FAYETTEVILLE, NC 28306(910) 868-6477 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Graceful Aging,pc NPPES

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

GRACEFUL AGING,PC (NPI 1316259013) is a healthcare organization registered as a geriatric medicine in Fayetteville, North Carolina and active in the NPI registry since July 2010. The organization lists Susannah Ogunwo, President, as its authorized official.

NPPES Registry Identity

NPI1316259013
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameGRACEFUL AGING,PC
Location Address2732 BARDOLINO DRFayetteville, NC 28306-4636
Mailing AddressPo Box 87142Fayetteville, NC 28304-7142 · (910) 868-6477
Phone(910) 868-6477
Organization SubpartNo
Authorized OfficialSusannah OgunwoPresident · (910) 868-6477
Enumeration DateJuly 9, 2010
✔ NPI 1316259013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NC · 200601059
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
2732 BARDOLINO DR, Fayetteville, NC 28306
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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 Graceful Aging,pc's NPI number?

The NPI number for Graceful Aging,pc is 1316259013. It was assigned to this organization in the NPPES registry on July 9, 2010.

Where is Graceful Aging,pc located?

Graceful Aging,pc is located at 2732 Bardolino Dr, Fayetteville, NC 28306. The listed phone number is (910) 868-6477.

What is Graceful Aging,pc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Graceful Aging,pc was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.