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

NPI Status: Active since May 23, 2013

Contact Information

300 MOORE ST
SUITE A
BRISTOL, VA
ZIP 24201
Phone: (276) 644-4433
Fax: (276) 644-4434

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 49D2062242
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-11-2027

About GRACE FAMILY MEDICINE CLINIC

This page provides the complete NPI Profile along with additional information for Grace Family Medicine Clinic, a primary care provider established in Bristol, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1407293954 assigned on May 2013. The practitioner's primary taxonomy code is 261QP2300X with license number 0101244053 (VA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Uzoma Obuekwe Md (Medical Director / Owner)

NPI
1407293954
Provider Name
GRACE FAMILY MEDICINE CLINIC
Entity Type
Organization
Location Address
300 MOORE ST SUITE A BRISTOL, VA 24201
Location Phone
(276) 644-4433
Location Fax
(276) 644-4434
Mailing Address
200 HARVEST RD BRISTOL, VA 24201
Mailing Phone
(276) 494-5225
Mailing Fax
(276) 644-4434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2013
Last Update Date
09-04-2013
Code Navigator

A primary care provider (PCP) like Grace Family Medicine Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
0101244053
License State
VA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

UZOMA OBUEKWE MD

Authorized Official Title
MEDICAL DIRECTOR / OWNER
Authorized Official Phone
(276) 494-5225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2062242
Facility Type
Physician Office
Certificate Effective Date
July 12, 2025
Certificate Expiration Date
July 11, 2027
Laboratory Director
OBUEKWE UZOMA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Grace Family Medicine Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407293954, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 4 + 9 + 6 + 9 + 1 + 0 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1407293954.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407293954, enumerated as an "organization" on May 23, 2013.

The provider is located at 300 MOORE ST SUITE A BRISTOL, VA 24201 and the phone number is (276) 644-4433.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.