GRACE PEDIATRIC CLINIC, P.A.
NPI 1447307384
Pediatrics in Charlotte, NC

Active since January 04, 2007
2401 TUCKASEEGEE RD, CHARLOTTE, NC 28208(704) 409-3000(704) 409-2382 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace Pediatric Clinic, P.a. NPPES

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

GRACE PEDIATRIC CLINIC, P.A. (NPI 1447307384) is a healthcare organization registered as a pediatrics in Charlotte, North Carolina and active in the NPI registry since January 2007. The organization lists Julius Tokunboh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1447307384
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGRACE PEDIATRIC CLINIC, P.A.
Location Address2401 TUCKASEEGEE RDCharlotte, NC 28208-4058
Mailing Address2401 Tuckaseegee RdCharlotte, NC 28208-4058 · (704) 409-3000 · Fax (704) 409-2382
Fax(704) 409-2382
Organization SubpartNo
Authorized OfficialJulius TokunbohMedical Director · (709) 409-3000
Enumeration DateJanuary 4, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1447307384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 9800405
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.

2401 TUCKASEEGEE RD, Charlotte, NC 28208

Other Identifiers 1

Medicaid891359NNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208
Clinic/Center (Urgent Care)
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208
Physician Assistant
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208
Internal Medicine
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208

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 Pediatric Clinic, P.A.'s NPI number?

The NPI number for Grace Pediatric Clinic, P.A. is 1447307384. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Grace Pediatric Clinic, P.A. located?

Grace Pediatric Clinic, P.A. is located at 2401 Tuckaseegee Rd, Charlotte, NC 28208. The listed phone number is (704) 409-3000.

What is Grace Pediatric Clinic, P.A.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Grace Pediatric Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.