GRACE PEDIATRICS LLC NPI 1548301914

NPI Information

  • NPI: 1548301914
  • Provider Name: GRACE PEDIATRICS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Address: 74186 TALLASSEE HWY
    SUITE B
    WETUMPKA, AL
    ZIP 36092
  • Phone: (334) 567-0346

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NPI Details

GRACE PEDIATRICS, LLC is a pediatrics in Wetumpka, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GRACE PEDIATRICS, LLC NPI is 1548301914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

74186 TALLASSEE HWY
SUITE B
WETUMPKA, AL
ZIP 36092-643
Phone: (334) 567-0346
Fax: (334) 567-0855

The provider's authorized official is Michelle P Medina .
The authorized official title is Single Member and has the following contact phone number (334) 358-5145.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

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
1208000000XPediatrics22736ALABAMAYes

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

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