TOTAL GRACE PEDIATRICS P.C. NPI 1396929444

NPI Information

  • NPI: 1396929444
  • Provider Name: TOTAL GRACE PEDIATRICS P.C.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Organization
  • Address: 900 N HAIRSTON RD # RS
    SUITE A
    STONE MOUNTAIN, GA
    ZIP 30083
  • Phone: (404) 292-8103

Map and Directions

Get Directions

NPI Details

TOTAL GRACE PEDIATRICS P.C. is an adolescent medicine pediatrics in Stone Mountain, GA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. TOTAL GRACE PEDIATRICS P.C. NPI is 1396929444. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 N HAIRSTON RD # RS
SUITE A
STONE MOUNTAIN, GA
ZIP 30083-857
Phone: (404) 292-8103
Fax: (404) 292-8105

The provider's authorized official is Bashiru A Dawodu .
The authorized official title is Physician and has the following contact phone number (404) 292-8103.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 12/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine052162GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI