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GRACE HARBOUR, INC
NPI 1407072770
Community/Behavioral Health in Peachtree City, GA

Active since April 17, 2007
200 WESTPARK DR STE 325, PEACHTREE CITY, GA 30269(770) 486-1140(678) 669-2693 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Harbour, Inc NPPES

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

GRACE HARBOUR, INC (NPI 1407072770) is a healthcare organization registered as a community/behavioral health in Peachtree City, Georgia and active in the NPI registry since April 2007. The organization maintains 5 additional practice locations and lists Kevin Freeman, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1407072770
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameGRACE HARBOUR, INC
Location Address200 WESTPARK DR STE 325Peachtree City, GA 30269-3574
Mailing Address200 Westpark Dr Ste 325Peachtree City, GA 30269-3574 · (770) 486-1140 · Fax (678) 669-2693
Phone(770) 486-1140
Fax(678) 669-2693
Organization SubpartNo
Authorized OfficialKevin FreemanSenior Vice President · (404) 934-9244
Enumeration DateApril 17, 2007
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
✔ NPI 1407072770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
200 WESTPARK DR STE 325, Peachtree City, GA 30269
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Secondary Practice Locations 5

Location 11201 Main St Ste 1904Columbia, SC 29201-3200 · Phone (770) 486-1140
Location 22411 N Oak St Ste 301EMyrtle Beach, SC 29577-3165 · Phone (770) 486-1140
Location 333 Market Point Dr Ste 2009Greenville, SC 29607-5768 · Phone (770) 486-1140
Location 437 Calumet Pkwy Ste 100Newnan, GA 30263-6734 · Phone (770) 304-0072 · Fax (678) 669-2693
Location 56650 Rivers Ave Ste 136North Charleston, SC 29406-4809 · Phone (770) 486-1140

Other Identifiers 3

Medicaid684485156AGA
Other7680934Aetna
Other600073520Magellan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Harbour, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Harbour, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Winston Pineda, MD
Psychiatry
NPI 1831142546
300 MEDICAL DRIVE SUITE 705
Lagrange, GA 30240
(706) 885-0111
✔ PECOS37 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Harbour, Inc's NPI number?

The NPI number for Grace Harbour, Inc is 1407072770. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Grace Harbour, Inc located?

Grace Harbour, Inc is located at 200 Westpark Dr Ste 325, Peachtree City, GA 30269. The listed phone number is (770) 486-1140.

What is Grace Harbour, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Grace Harbour, Inc enrolled in Medicare?

Yes. Grace Harbour, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Harbour, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Grace Harbour, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grace Harbour, Inc was last updated on September 18, 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.