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GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC
NPI 1629267653
Family Medicine in Jackson, MS

Active since October 16, 2007
2106 RAYMOND RD, SUITE A, JACKSON, MS 39212(601) 373-1055(601) 373-1774 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace & Mercy Family Medical Clinic, Pllc NPPES

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

GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC (NPI 1629267653) is a healthcare organization registered as a family medicine in Jackson, Mississippi and active in the NPI registry since October 2007. The organization lists Rhonda M. Odom-funches, Owner, as its authorized official.

NPPES Registry Identity

NPI1629267653
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE & MERCY FAMILY MEDICAL CLINIC, PLLC
Location Address2106 RAYMOND RD, SUITE AJackson, MS 39212-2300
Mailing Address2106 Raymond Rd, Suite AJackson, MS 39212-2300 · (601) 373-1055 · Fax (601) 373-1774
Phone(601) 373-1055
Fax(601) 373-1774
Organization SubpartNo
Authorized OfficialRhonda M. Odom-funchesOwner · (601) 373-1055
Enumeration DateOctober 16, 2007
Last NPPES UpdateDecember 10, 2012
✔ NPI 1629267653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
2106 RAYMOND RD, Jackson, MS 39212
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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 SINGLE SPECIALTY GROUP

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 & Mercy Family Medical Clinic, PLLC's NPI number?

The NPI number for Grace & Mercy Family Medical Clinic, PLLC is 1629267653. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Grace & Mercy Family Medical Clinic, PLLC located?

Grace & Mercy Family Medical Clinic, PLLC is located at 2106 Raymond Rd Suite A, Jackson, MS 39212. The listed phone number is (601) 373-1055.

What is Grace & Mercy Family Medical Clinic, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grace & Mercy Family Medical Clinic, PLLC was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.