GRACE PARK MD
NPI 1407410004
Pediatrics in Winston Salem, NC

Active since April 29, 2019PECOS Enrolled
2808 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 765-9000(336) 765-5702 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2022, Apr 29, 2019 (2 updates tracked since 2019).

About Grace Park Md NPPES

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

GRACE PARK MD (NPI 1407410004) is an individual pediatrics provider in Winston Salem, North Carolina, licensed in North Carolina (202200704) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407410004
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGRACE PARKCredential: MD
Location Address2808 MAPLEWOOD AVEWinston Salem, NC 27103-4138
Mailing Address2808 Maplewood AveWinston Salem, NC 27103-4138 · (336) 765-9000 · Fax (336) 765-5702
Fax(336) 765-5702
Sole ProprietorNo
Enumeration DateApril 29, 2019
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
NPI 1407410004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 202200704
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2808 MAPLEWOOD AVE, Winston Salem, NC 27103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Pediatrics
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Pediatrics
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Physician Assistant
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Nurse Practitioner (Pediatrics)
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Pediatrics
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Pediatrics
2808 MAPLEWOOD AVE
WINSTON-SALEM, NC 27103
Pediatrics
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Pediatrics
2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

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 Park's NPI number?

The NPI number for Grace Park is 1407410004. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Grace Park located?

Grace Park practices at 2808 Maplewood Ave, Winston Salem, NC 27103. The listed phone number is (336) 765-9000.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Grace Park enrolled in Medicare?

Yes. Grace Park is registered in the Medicare PECOS enrollment system.

What insurance does Grace Park accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Grace Park 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 Park was last updated on August 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.