GRACE FAMILY MEDICINE CLINIC
NPI 1407293954
Clinic/Center - Primary Care in Bristol, VA

Active since May 23, 2013CLIA 49D2062242 · Waiver
300 MOORE ST, SUITE A, BRISTOL, VA 24201(276) 644-4433(276) 644-4434 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Family Medicine Clinic NPPES

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

GRACE FAMILY MEDICINE CLINIC (NPI 1407293954) is a healthcare organization registered as a primary care in Bristol, Virginia and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Uzoma Obuekwe, Medical Director / Owner, as its authorized official.

NPPES Registry Identity

NPI1407293954
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGRACE FAMILY MEDICINE CLINIC
Location Address300 MOORE ST, SUITE ABristol, VA 24201-4495
Mailing Address200 Harvest RdBristol, VA 24201-5109 · (276) 494-5225 · Fax (276) 644-4434
Fax(276) 644-4434
Organization SubpartNo
Authorized OfficialUzoma ObuekweMedical Director / Owner · (276) 494-5225
Enumeration DateMay 23, 2013
Last NPPES UpdateSeptember 4, 2013
NPI 1407293954 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 VA · 0101244053
300 MOORE ST, Bristol, VA 24201

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 49D2062242

Grace Family Medicine Clinic · Bristol, VA
Active · expires Jul 11, 2027
CLIA Number49D2062242
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorObuekwe Uzoma
Laboratory Phone(276) 644-4433
Laboratory LocationGrace Family Medicine Clinic2001 Euclid Avenue, Bristol, VA 24201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Chiropractor
300 MOORE ST, SUITE B
BRISTOL, VA 24201
Chiropractor
300 MOORE ST
BRISTOL, VA 24201
Social Worker (Clinical)
300 MOORE ST, SUITE A
BRISTOL, VA 24201

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 Family Medicine Clinic's NPI number?

The NPI number for Grace Family Medicine Clinic is 1407293954. It was assigned to this organization in the NPPES registry on May 23, 2013.

Where is Grace Family Medicine Clinic located?

Grace Family Medicine Clinic is located at 300 Moore St Suite A, Bristol, VA 24201. The listed phone number is (276) 644-4433.

What is Grace Family Medicine Clinic's specialty?

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

Does Grace Family Medicine Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2062242) is associated with this NPI, valid through July 11, 2027. 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 Family Medicine Clinic was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.