Greater Grace Development Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREATER GRACE DEVELOPMENT CENTER, LLC

Practice address

1135 Cedar Shoals Dr BLDG 5
Athens, GA 30605-5299

Phone

(706) 474-3773

NPI assigned

Feb 13, 2022

Organization subpart

No

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

Authorized official

Name

Tonya Carter

Title

Administrator

Phone

(706) 474-3773

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1164177754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CEDAR SHOALS DR BLDG 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055299",
            "telephone_number": "706-474-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CEDAR SHOALS DR BLDG 5",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306055299",
            "telephone_number": "706-474-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER GRACE DEVELOPMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-474-3773"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmeke@suitableforthepeople.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1135 Cedar Shoals Dr Bldg 5",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306055299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly McElreath Graham, PA-C
• Candice Shadel Granger, COTA/L
• Beverly Anne Grant, LPC, CAADC
• Kathleen H Grant, MD
• Cheryl Marie Gravitt, LPC
• Samuel Michael Greavu, PT, DPT, CERT. DN
• Bryan S Green, PA-C
• Edward M. Green, M.D.
• Ashlee Charen-Symone Greene
• Jessie Brinson Greene I, LCSW

• Community/Behavioral Health Agency in Athens, GA
• Providers in Athens, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.