1. Home
  2. Directory
  3. Georgia
  4. Dublin
  5. General Practice
  6. NPI Profile

GRACE FAMILY CARE LLC
NPI 1922954916
General Practice in Dublin, GA

Active since March 10, 2026CLIA 11D2340133 · Waiver
1101 HILLCREST PKWY STE E, DUBLIN, GA 31021(478) 205-5517(478) 205-5518 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Family Care Llc NPPES

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

GRACE FAMILY CARE LLC (NPI 1922954916) is a healthcare organization registered as a general practice in Dublin, Georgia and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Sandy Souza, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922954916
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGRACE FAMILY CARE LLC
Location Address1101 HILLCREST PKWY STE EDublin, GA 31021-3579
Mailing Address1101 Hillcrest Pkwy Ste EDublin, GA 31021-3579 · (478) 205-5517 · Fax (478) 205-5518
Phone(478) 205-5517
Fax(478) 205-5518
Organization SubpartNo
Authorized OfficialSandy SouzaCeo · (478) 205-5517
Enumeration DateMarch 10, 2026
Last NPPES UpdateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1922954916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
Also ListedFamily MedicineTaxonomy 207Q00000X
1101 HILLCREST PKWY STE E, Dublin, GA 31021
Open in Google Maps ↗

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

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 Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grace Family Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jenna Harvey, FNP-C
Nurse Practitioner
NPI 1265130306
1101 HILLCREST PKWY STE E
Dublin, GA 31021
(478) 205-5517
✔ PECOS✔ Accepts MedicareSame address
Sandra Souza, M.D.
Family Practice
NPI 1043203839
2121A BELLEVUE RD
Dublin, GA 31021
(478) 272-1190
✔ PECOS✔ Accepts Medicare1.0 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 11D2340133

Grace Family Care · Dublin, GA
Active · expires Mar 11, 2028
CLIA Number11D2340133
Laboratory TypeGeneral Practice
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorSandra L. Souza
Laboratory Phone(478) 205-5517
Laboratory LocationGrace Family Care1101 Hillcrest Parkway, Suite E, Dublin, GA 31021
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 Family Care LLC's NPI number?

The NPI number for Grace Family Care LLC is 1922954916. It was assigned to this organization in the NPPES registry on March 10, 2026.

Where is Grace Family Care LLC located?

Grace Family Care LLC is located at 1101 Hillcrest Pkwy Ste E, Dublin, GA 31021. The listed phone number is (478) 205-5517.

What is Grace Family Care LLC's specialty?

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

Is Grace Family Care LLC enrolled in Medicare?

Yes. Grace Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grace Family Care LLC, in Family Practice and Nurse Practitioner. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2340133) is associated with this NPI, valid through March 11, 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 Family Care LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.