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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACE WELLNESS & AESTHETICS
NPI 1811658008
General Practice in Palatka, FL

Active since January 10, 2022
417 SAINT JOHNS AVE, PALATKA, FL 32177(352) 719-0700(352) 719-0719 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2026, Sep 7, 2022, Jan 10, 2022 (3 updates tracked since 2022).

About Grace Wellness & Aesthetics NPPES

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

GRACE WELLNESS & AESTHETICS (NPI 1811658008) is a healthcare organization registered as a general practice in Palatka, Florida and active in the NPI registry since January 2022. The organization lists Leamarie Lord, Owner, as its authorized official.

NPPES Registry Identity

NPI1811658008
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGRACE WELLNESS & AESTHETICS
Location Address417 SAINT JOHNS AVEPalatka, FL 32177-4724
Mailing Address417 Saint Johns AvePalatka, FL 32177-4724 · (352) 719-0700 · Fax (342) 719-0719
Phone(352) 719-0700
Fax(352) 719-0719
Organization SubpartNo
Authorized OfficialLeamarie LordOwner · (352) 421-5736
Enumeration DateJanuary 10, 2022
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1811658008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
417 SAINT JOHNS AVE, Palatka, FL 32177
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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

Other Providers at the Same Location NPPES

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

LEAMARIE LORD FNP
Nurse Practitioner (Family)
417 SAINT JOHNS AVE
PALATKA, FL 32177
Putnam County (352) 719-0700

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 Wellness & Aesthetics's NPI number?

The NPI number for Grace Wellness & Aesthetics is 1811658008. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Grace Wellness & Aesthetics located?

Grace Wellness & Aesthetics is located at 417 Saint Johns Ave, Palatka, FL 32177. The listed phone number is (352) 719-0700.

What is Grace Wellness & Aesthetics's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Grace Wellness & Aesthetics was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.