Organization Active NPI

Abundant Grace and Blessings by T

  • Contractor
  • Columbus, GA
National Provider Identifier
1629796040
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
ABUNDANT GRACE AND BLESSINGS BY T
Doing business as
Abundant Grace and Blessings By T
Practice address
2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121
Phone
(706) 577-1760
NPI assigned
Aug 22, 2022
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Tameika Bogan
Title
Ceo
Phone
(706) 573-8349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121

Mailing address

2201 Buena Vista Rd Ste B1
Columbus, GA 31906-3121
Phone (706) 577-1760

Other names 1

  • Abundant Grace and Blessings By T Doing business as

National Provider Directory

National Provider Directory

Locations

2201 Buena Vista Rd
Ste B1
Columbus, GA 31906
Phone (706) 577-1760

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1629796040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD STE B1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-577-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BUENA VISTA RD STE B1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319063121",
            "telephone_number": "706-577-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT GRACE AND BLESSINGS BY T",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "TAMEIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-573-8349"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Grace and Blessings By T",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Abundant Grace and Blessings By T",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.