Graciously Clean

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

GRACIOUSLY CLEAN

Doing business as

Cancer treatment and counseling

Practice address

3407 Julia Ave
Augusta, GA 30906-4811

Phone

(706) 619-0449

NPI assigned

Jun 6, 2024

Last updated

Jun 6, 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

Madison Cherry

Title

Administration

Phone

(706) 619-0448

Specialties & licenses 1

Addresses

Other names 1

• Cancer treatment and counseling Doing business as

Practitioners 1

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.

• Lindsey Ann Mercer, CADA

  • Addiction (Substance Use Disorder) Counselor
  • Augusta, GA
  • NPI 1508641523
  NPD

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1619718236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 JULIA AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064811",
            "telephone_number": "706-619-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 JULIA AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064811",
            "telephone_number": "706-619-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUSLY CLEAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "706-619-0448"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer treatment and counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamisen Grabb
• Travis Tremain Grable, LPC
• Grace a Pilcher,MD LLC
• Grace to Grow Autism Therapy Center LLC
• Gracefully Centered, LLC
• Austin M Graf, MD
• Jordan Taylor Graff, DO
• Kendrall Graham, M.ED CCC-SLP
• Madelyn Granat, MD
• April Reid Grant, NNP

• Multi-Specialty Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.