GRACEWAY DIRECT PRIMARY CARE PLLC NPI 1689255127

NPI Information

  • NPI: 1689255127
  • Provider Name: GRACEWAY DIRECT PRIMARY CARE, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 5807 HASBROOK DR
    LOUISVILLE, KY
    ZIP 40229
  • Phone: (502) 709-0590

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NPI Details

GRACEWAY DIRECT PRIMARY CARE, PLLC is a primary care clinic center in Louisville, KY. GRACEWAY DIRECT PRIMARY CARE, PLLC NPI is 1689255127. The provider is registered as an organization entity type.

The provider's business location address is:

5807 HASBROOK DR
LOUISVILLE, KY
ZIP 40229-984
Phone: (502) 709-0590

The provider's authorized official is Lori Williams .
The authorized official title is Owner and has the following contact phone number (502) 709-0590.

The enumeration date for this NPI number is 4/16/2021 and was last updated on 4/16/2021.

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
1261QP2300XClinic/CenterPrimary CareYes

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

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