Individual provider Active NPI

Graci Elizabeth York, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1598517500
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN287067 Issued in GA
Practice address
624 Tebeau St
Waycross, GA 31501-4728
Phone
(912) 809-6052
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN287067 GA Primary

Addresses

Primary practice location

624 Tebeau St
Waycross, GA 31501-4728

Mailing address

5268 Pine View Rd
Waycross, GA 31503-9200
Phone (912) 816-7414

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924003697 GA Practitioner - Nurse Practitioner 9739684382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2004 Pioneer St
Waycross, GA 31501-6250
Phone (912) 338-7116

705 Breedlove Dr
Suite 300
Monroe, GA 30655-2080
Phone (678) 635-8010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson Family Practice, Inc CurrentSince Nov 3, 2024 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Sep 8, 2025 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

2004 Pioneer St
Waycross, GA 31501
Phone (912) 284-2460

624 Tebeau St
Waycross, GA 31501
Phone (912) 809-6052

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1598517500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5268 PINE VIEW RD",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315039200",
            "telephone_number": "912-816-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TEBEAU ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014728",
            "telephone_number": "912-809-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "GRACI",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN287067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.