Active NPI
Barbara L Gracious, M.D.
- Child & Adolescent Psychiatry Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 35.075792
- Practice address
- 495 E Main St
Columbus, OH 43215-5679 - Phone
- (614) 355-8007
- Fax
- (614) 355-8620
- NPI assigned
- Jun 21, 2006
- Last updated
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.075792 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.075792 | OH | Primary |
Addresses
Primary practice location
495 E Main St
Columbus, OH 43215-5679
Mailing address
Dept 781625
PO Box 78000
Detroit, MI 48278-1625
Phone (614) 355-8004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2846675 | Medicaid | OH | |
| 0108229 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BARBARA.GRACIOUS@hca5.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Northwestern University Feinberg Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1731 University Blvd S
Jacksonville, FL 32216-8928
Phone (904) 725-0200
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 639-8500
2021 Professional Ctr Dr
Orange Park, FL 32073-4461
2029 Professional Ctr Dr
Orange Park, FL 32073-4461
Phone (904) 264-8621
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.075792 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Family Practice Associates, LLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1275579088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 781625",
"address_2": "PO BOX 78000",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781625",
"telephone_number": "614-355-8004",
"fax_number": "614-355-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 E MAIN ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155679",
"telephone_number": "614-355-8007",
"fax_number": "614-355-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIOUS",
"first_name": "BARBARA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.075792",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35.075792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2846675",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0108229",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BARBARA.GRACIOUS@hca5.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "495 E Main St",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432155679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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- Emily Grad
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- Aaron Grady
- Caitlin Rose Grady, CNP
- Dimitra Grady
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.