Individual provider Active NPI

Grace Elizabeth McLoughlin, PA-C

  • Physician Assistant
  • Winder, GA
National Provider Identifier
1033090881
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
24 Amherst Dr
Winder, GA 30680-7463
Phone
(470) 900-4368
NPI assigned
Sep 9, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X GA Primary

Addresses

Primary practice location

24 Amherst Dr
Winder, GA 30680-7463

Mailing address

24 Amherst Dr
Winder, GA 30680-7463
Phone (470) 900-4368

Other names 1

  • Grace Elizabeth Salminen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326002437 GA Practitioner - Physician Assistant 1658856737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

345 Huntington Place CT
Suite 200B
McDonough, GA 30253-8651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medlife Urgent Care LLC CurrentSince Feb 12, 2026 Accepting new patients

Locations

345 Huntington Place Ct
Ste 200B
McDonough, GA 30253
Phone (678) 993-0820

24 Amherst Dr
Winder, GA 30680
Phone (470) 900-4368

Interoperability endpoints

  • Direct secure messaging: grace.mcloughlin.1@21462.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1033090881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 AMHERST DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807463",
            "telephone_number": "470-900-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 AMHERST DR",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306807463",
            "telephone_number": "470-900-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLOUGHLIN",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "SALMINEN",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

Verify at the official NPI Registry.