GRACE PEDIATRICS PL
NPI 1326885294
Clinic/Center - Rural Health in Fort White, FL

Active since July 09, 2024CLIA 10D2037940 · Waiver
238 SW CULLEN AVE, FORT WHITE, FL 32038(386) 243-8474 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Pediatrics Pl NPPES

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

GRACE PEDIATRICS PL (NPI 1326885294) is a healthcare organization registered as a rural health in Fort White, Florida and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Colleen A Thompson, Aprn, Owner, as its authorized official.

NPPES Registry Identity

NPI1326885294
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRACE PEDIATRICS PL
Location Address238 SW CULLEN AVEFort White, FL 32038-3536
Mailing Address4196 W Us Highway 90 Ste 105Lake City, FL 32055-8834 · (386) 243-8474 · Fax (386) 438-5945
Organization SubpartNo
Authorized OfficialColleen A ThompsonAprn, Owner · (386) 243-8474
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
NPI 1326885294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
238 SW CULLEN AVE, Fort White, FL 32038

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 10D2037940

Grace Pediatrics · Lake City, FL
Active · expires Mar 8, 2028
CLIA Number10D2037940
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorColleen A. Thompson
Laboratory Phone(386) 243-8474
Laboratory LocationGrace Pediatrics4196 W Us Hwy 90 Ste 105, Lake City, FL 32055
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
238 SW CULLEN AVE
FORT WHITE, FL 32038
Nurse Practitioner (Family)
238 SW CULLEN AVE
FORT WHITE, FL 32038

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 Pediatrics Pl's NPI number?

The NPI number for Grace Pediatrics Pl is 1326885294. It was assigned to this organization in the NPPES registry on July 9, 2024.

Where is Grace Pediatrics Pl located?

Grace Pediatrics Pl is located at 238 SW Cullen Ave, Fort White, FL 32038. The listed phone number is (386) 243-8474.

What is Grace Pediatrics Pl's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Grace Pediatrics Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2037940) is associated with this NPI, valid through March 8, 2028. 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 Pediatrics Pl was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.