Grace Health and Wellness Family Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE HEALTH AND WELLNESS FAMILY CLINIC

Practice address

443 Pine Ave SW
Decatur, AL 35601-7631

Phone

(256) 203-5713

Fax

(256) 260-9544

NPI assigned

Aug 7, 2024

Last updated

Aug 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiffanie M McGuire, NP

Title

CRNP

Phone

(256) 203-5713

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joann Elizabeth Johnson, MD

  • Pediatrics Physician
  • Huntsville, AL
  • NPI 1104809508
  Medicare reassignment NPD
• Tiffanie Marshall McGuire, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
  • NPI 1275151078
  Medicare reassignment NPD
• Sarah Lasheila Smith, CPNP, DNP

  • Pediatric Medical Toxicology Physician
  • Montgomery, AL
  • NPI 1508193921
  Medicare reassignment NPD

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1184454795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5393",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356010393",
            "telephone_number": "256-203-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 PINE AVE SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356017631",
            "telephone_number": "256-203-5713",
            "fax_number": "256-260-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH AND WELLNESS FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "TIFFANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "256-203-5713",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beronica Goodwin
• Kareen Vincent Goodwin, DPH
• Kathy S Goodwin, MS
• Jennifer Grace Gourlay, DMD
• Blake Lee Gowen, R.PH.
• Gregory Neal Graham, LPC
• Kaitlyn Kibbe Graham, CRNP
• Laura Ann Graham, CRNP
• Grand Oaks Counseling, LLC
• Yvette Dolores Greaves, NP-C

• Family Medicine Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.