Graceful Harmony Medspa

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

GRACEFUL HARMONY MEDSPA

Doing business as

Graceful Medical Academy

Practice address

2850 Ashley Phosphate Rd Ste a
North Charleston, SC 29418-4403

Phone

(854) 999-4899

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Tabia Oni McMullen, AG-ACNP

Title

Ceo

Phone

(843) 817-1744

Specialties & licenses 1

Addresses

Other names 1

• Graceful Medical Academy Doing business as

Electronic endpoints 1

Tax ID family

Graceful Harmony Medspa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Graceful Harmony Medspa Inc

  dba Graceful Medical Academy

  • Health & Wellness Coach
  • North Charleston, SC
  • NPI 1396465043
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tabia Oni Holmes, ACNP

  • Gerontology Nurse Practitioner
  • North Charleston, SC
  • NPI 1316547649
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1255051132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ASHLEY PHOSPHATE RD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294184403",
            "telephone_number": "854-999-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ASHLEY PHOSPHATE RD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294184403",
            "telephone_number": "854-999-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HARMONY MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "TABIA",
        "authorized_official_middle_name": "ONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-817-1744",
        "authorized_official_credential": "AG-ACNP"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tabia@gracefulharmonymedspa.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2850 Ashley Phosphate Rd Ste A",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294184403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Graceful Medical Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jon Gouge, PTA
• Frederick James Goulding, M.D.
• Ruth Olivia Govan, MA
• Governors Office Continuum of Care
• Graceful Beginnings Home Care Agency LLC
• Graceful Harmony Medspa & Wellness LLC
• Graceful Harmony Medspa Inc (Graceful Medical Academy)
• Graceful Home Care Agency, LLC
• Graceful Living Behavioral Support
• Catherine Grady

• Public Health & General Preventive Medicine Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Public Health & General Preventive Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.