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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRACE COMMUNITY CENTER CLINIC
NPI 1831098748
Family Medicine in Centreville, VA

Active since November 05, 2026
14631 ROUTE 29 STE 313, CENTREVILLE, VA 20121(703) 650-9099(703) 291-8900 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Grace Community Center Clinic NPPES

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

GRACE COMMUNITY CENTER CLINIC (NPI 1831098748) is a healthcare organization registered as a family medicine in Centreville, Virginia and active in the NPI registry since November 2026. The organization lists Tong Park, Director, as its authorized official.

NPPES Registry Identity

NPI1831098748
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE COMMUNITY CENTER CLINIC
Location Address14631 ROUTE 29 STE 313Centreville, VA 20121-5834
Mailing Address14631 Route 29 Ste 313Centreville, VA 20121-5834 · (703) 650-9099 · Fax (703) 291-8900
Phone(703) 650-9099
Fax(703) 291-8900
Organization SubpartYesParent: Grace Community Center
Authorized OfficialTong ParkDirector · (703) 819-8114
Enumeration DateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1831098748 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.
14631 ROUTE 29 STE 313, Centreville, VA 20121
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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

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 Community Center Clinic's NPI number?

The NPI number for Grace Community Center Clinic is 1831098748. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Grace Community Center Clinic located?

Grace Community Center Clinic is located at 14631 Route 29 Ste 313, Centreville, VA 20121. The listed phone number is (703) 650-9099.

What is Grace Community Center Clinic'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 Community Center Clinic was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.