Active NPI
John F Grace, PSY.D
- Psychologist
- Athens, GA
National Provider Identifier
1487799664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 003032
- Practice address
- 1 Huntington Rd Ste 801
Athens, GA 30606-7216 - Phone
- (706) 552-0450
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 003032 | GA | Primary |
Addresses
Primary practice location
1 Huntington Rd Ste 801
Athens, GA 30606-7216
Mailing address
3101 Peachtree Park Dr NE
Atlanta, GA 30309-1340
Phone (404) 545-4220
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Huntingdon Rd
Suite 801
Athens, GA 30606
Phone (706) 552-0450
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003032 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Psychotherapy & Psychological Assesment Services of North Ga | Current | Accepting new patients |
Locations
1 Huntington Rd
Ste 801
Athens, GA 30606
Phone (706) 552-0450
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Athens, GA
- NPI 1093062606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487799664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 PEACHTREE PARK DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091340",
"telephone_number": "404-545-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HUNTINGTON RD STE 801",
"city": "ATHENS",
"state": "GA",
"postal_code": "306067216",
"telephone_number": "706-552-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "JOHN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "003032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.