GRACE MEDICAL PRACTICE LLC
NPI 1407186877
Clinic/Center - Primary Care in Atlanta, GA

Active since January 07, 2010
3885 PRINCETON LAKES WAY SW, SUITE 402, ATLANTA, GA 30331(404) 349-0496 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Medical Practice Llc NPPES

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

GRACE MEDICAL PRACTICE LLC (NPI 1407186877) is a healthcare organization registered as a primary care in Atlanta, Georgia and active in the NPI registry since January 2010. The organization lists Fidelia Osinubi, Physician, as its authorized official.

NPPES Registry Identity

NPI1407186877
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRACE MEDICAL PRACTICE LLC
Location Address3885 PRINCETON LAKES WAY SW, SUITE 402Atlanta, GA 30331-5589
Mailing AddressPo Box 20156Atlanta, GA 30325-0156
Organization SubpartNo
Authorized OfficialFidelia OsinubiPhysician · (404) 861-0291
Enumeration DateJanuary 7, 2010
NPI 1407186877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in GA · GA061309
3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (Oral and Maxillofacial Surgery)
3885 PRINCETON LAKES WAY SW, 406
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Internal Medicine
3885 PRINCETON LAKES WAY SW, SUITE 300
ATLANTA, GA 30331
Obstetrics & Gynecology
3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Pain Medicine (Interventional Pain Medicine)
3885 PRINCETON LAKES WAY SW, SUITE 225
ATLANTA, GA 30331
Specialist
3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331
Psychiatry & Neurology (Neurology)
3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331

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 Medical Practice LLC's NPI number?

The NPI number for Grace Medical Practice LLC is 1407186877. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Grace Medical Practice LLC located?

Grace Medical Practice LLC is located at 3885 Princeton Lakes Way SW Suite 402, Atlanta, GA 30331. The listed phone number is (404) 349-0496.

What is Grace Medical Practice LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Grace Medical Practice LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Grace Medical Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Medical Practice LLC was last updated on January 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.