Grace & Mercy Family Medical Clinic, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC

Practice address

2106 Raymond Rd
Suite a
Jackson, MS 39212-2300

Phone

(601) 373-1055

Fax

(601) 373-1774

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rhonda M. Odom-Funches, M.D.NPI 1861692204

Title

Owner

Phone

(601) 373-1055

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Rhonda Monique Odom-Funches, M.D.

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1861692204
  NPD Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1629267653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 RAYMOND RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122300",
            "telephone_number": "601-373-1055",
            "fax_number": "601-373-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 RAYMOND RD",
            "address_2": "SUITE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392122300",
            "telephone_number": "601-373-1055",
            "fax_number": "601-373-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "ODOM-FUNCHES",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-373-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan William Goss, NP
• Itedrianna Goston
• Angelica Gowdy, PCMHT
• Miranda Goza, NP
• Shelby Duke Goza Jr.
• Grace Myofascial Clinic, LLC
• Graceful Hands Personal Care Corp
• Graceful Wellness LLC
• Gracey & Murphy Faithful Code
• Andrew Wilcox Grady, DVM

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; 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.