1. Home
  2. Directory
  3. Georgia
  4. Blairsville
  5. Family Medicine
  6. NPI Profile

GRACE PEDIATRICS AND WELLNESS, LLC
NPI 1811734676
Family Medicine in Blairsville, GA

Active since July 10, 2024CLIA 11D2310997 · Waiver
63 PLOTT ST STE A, BLAIRSVILLE, GA 30512(706) 745-2968 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2025, Jul 10, 2024 (2 updates tracked since 2024).

About Grace Pediatrics And Wellness, Llc NPPES

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

GRACE PEDIATRICS AND WELLNESS, LLC (NPI 1811734676) is a healthcare organization registered as a family medicine in Blairsville, Georgia and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 15, 2028 and lists Holly Mejia, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1811734676
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE PEDIATRICS AND WELLNESS, LLC
Location Address63 PLOTT ST STE ABlairsville, GA 30512-3666
Mailing Address63 Plott St Ste ABlairsville, GA 30512-3666 · (706) 745-2968
Phone(706) 745-2968
Organization SubpartNo
Authorized OfficialHolly MejiaOffice Manager · (706) 745-2968
Enumeration DateJuly 10, 2024
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1811734676 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.
63 PLOTT ST STE A, Blairsville, GA 30512
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Pediatrics And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Grace Pediatrics And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jose Mejia, FNP
Nurse Practitioner
NPI 1649875311
63 PLOTT ST STE A
Blairsville, GA 30512
(706) 745-2968
✔ PECOSSame address
Sheila Whitener, DNP CNM FNP-BC NP-C
Nurse Practitioner
NPI 1023456183
63 PLOTT ST STE A
Blairsville, GA 30512
(706) 745-2968
✔ PECOSSame address
Dawn Taylor, MSN, APRN, FNP-C
Nurse Practitioner
NPI 1184393183
5934 HIGHWAY 515 E
Blairsville, GA 30512
(706) 970-4599
✔ PECOS5.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D2310997

Grace Pediatrics And Wellness · Blairsville, GA
Active · expires Sep 15, 2028
CLIA Number11D2310997
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorJose D. Mejia Jr
Laboratory Phone(706) 745-2968
Laboratory LocationGrace Pediatrics And Wellness63 Plott Street, Suite A, Blairsville, GA 30512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pediatrics And Wellness, LLC's NPI number?

The NPI number for Grace Pediatrics And Wellness, LLC is 1811734676. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Grace Pediatrics And Wellness, LLC located?

Grace Pediatrics And Wellness, LLC is located at 63 Plott St Ste A, Blairsville, GA 30512. The listed phone number is (706) 745-2968.

What is Grace Pediatrics And Wellness, LLC's specialty?

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

Is Grace Pediatrics And Wellness, LLC enrolled in Medicare?

Yes. Grace Pediatrics And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Pediatrics And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grace Pediatrics And Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Pediatrics And Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2310997) is associated with this NPI, valid through September 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Pediatrics And Wellness, LLC was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.