GRACE MEDICAL OF AIKEN LLC - NPI 1619744398 - Family Medicine in Aiken, SC

Q: What is Grace Medical Of Aiken LLC's NPI number?

The NPI number for Grace Medical Of Aiken LLC is 1619744398. It was assigned to this organization in the NPPES registry on December 4, 2023.

Q: What is Grace Medical Of Aiken LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Grace Medical Of Aiken Llc NPPES

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

GRACE MEDICAL OF AIKEN LLC (NPI 1619744398) is a healthcare organization registered as a family medicine in Aiken, South Carolina and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Anna Allman, Owner, as its authorized official.

NPPES Registry Identity

NPI1619744398

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRACE MEDICAL OF AIKEN LLC

Location Address415 BARNWELL AVE NWAiken, SC 29801-3937

Mailing AddressPo Box 537Aiken, SC 29802-0537 · (803) 226-0274 · Fax (803) 226-0436

Phone(803) 226-0274

Fax(803) 226-0436

Organization SubpartNo

Authorized OfficialAnna AllmanOwner · (803) 270-1101

Enumeration DateDecember 4, 2023

Last NPPES UpdateDecember 5, 2023

NPPES CertifiedDecember 5, 2023

✔ NPI 1619744398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

415 BARNWELL AVE NW, Aiken, SC 29801

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D2298480

Grace Medical Of Aiken · Aiken, SC

Active · expires Feb 1, 2028

CLIA Number42D2298480

Laboratory TypePhysician Office

Certificate Effective DateFebruary 2, 2026

Certificate Expiration DateFebruary 1, 2028

Laboratory DirectorAnna P. Allman

Laboratory Phone(803) 226-0274

Laboratory LocationGrace Medical Of Aiken415 Barnwell Ave, NW, Aiken, SC 29801

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

LINDSAY K PIZZUTO FNP

Nurse Practitioner