TOTAL GRACE PEDIATRICS P.C.
NPI 1396929444
Pediatrics - Adolescent Medicine in Stone Mountain, GA

Active since December 26, 2007
900 N HAIRSTON RD # RS, SUITE A, STONE MOUNTAIN, GA 30083(404) 292-8103(404) 292-8105 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Total Grace Pediatrics P.c. NPPES

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

TOTAL GRACE PEDIATRICS P.C. (NPI 1396929444) is a healthcare organization registered as an adolescent medicine in Stone Mountain, Georgia and active in the NPI registry since December 2007. The organization lists Bashiru A Dawodu, Physician, as its authorized official.

NPPES Registry Identity

NPI1396929444
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameTOTAL GRACE PEDIATRICS P.C.
Location Address900 N HAIRSTON RD # RS, SUITE AStone Mountain, GA 30083-2857
Mailing Address900 N Hairston Rd # Rs, Suite AStone Mountain, GA 30083-2857 · (404) 292-8103 · Fax (404) 292-8105
Fax(404) 292-8105
Organization SubpartNo
Authorized OfficialBashiru A DawoduPhysician · (404) 292-8103
Enumeration DateDecember 26, 2007
NPI 1396929444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in GA · 052162
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
900 N HAIRSTON RD # RS, Stone Mountain, GA 30083

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 Total Grace Pediatrics P.C.'s NPI number?

The NPI number for Total Grace Pediatrics P.C. is 1396929444. It was assigned to this organization in the NPPES registry on December 26, 2007.

Where is Total Grace Pediatrics P.C. located?

Total Grace Pediatrics P.C. is located at 900 N Hairston Rd # Rs Suite A, Stone Mountain, GA 30083. The listed phone number is (404) 292-8103.

What is Total Grace Pediatrics P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Total Grace Pediatrics P.C. was last updated on December 26, 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.