Organization Active NPI

Grace Family Practice

  • Family Medicine Physician
  • Macon, GA
National Provider Identifier
1659713733
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049604 Issued in GA
Legal business name
GRACE FAMILY PRACTICE
Practice address
440 Charter Blvd
Suite 3303
Macon, GA 31210-4857
Phone
(478) 405-0280
Fax
(478) 405-0290
NPI assigned
Jul 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Christopher B Reeves, MD
Title
President
Phone
(478) 405-0280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 049604 GA Primary

Addresses

Primary practice location

440 Charter Blvd
Suite 3303
Macon, GA 31210-4857

Mailing address

440 Charter Blvd
Suite 3303
Macon, GA 31210-4857
Phone (478) 405-0280

Other identifiers 3

IdentifierTypeStateIssuer
998226OtherGABCBS
000925955BMedicaidGA
P00348683OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

440 Charter Blvd
Ste 3303
Macon, GA 31210
Phone (478) 405-0280

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1659713733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHARTER BLVD",
            "address_2": "SUITE 3303",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104857",
            "telephone_number": "478-405-0280",
            "fax_number": "478-405-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHARTER BLVD",
            "address_2": "SUITE 3303",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104857",
            "telephone_number": "478-405-0280",
            "fax_number": "478-405-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-405-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "998226",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000925955B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348683",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.