Organization Active NPI

Amazing Grace Healthcare PLLC

  • Primary Care Clinic/Center
  • Greenville, NC
National Provider Identifier
1689329930
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AMAZING GRACE HEALTHCARE PLLC
Practice address
2573 Stantonsburg Rd Ste B
Greenville, NC 27834-7213
Phone
(252) 248-5978
Fax
(252) 751-6331
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Mrs. Cinthia Dayanara Pineda, NPNPI 1770829277
Title
Family Nurse Practitioner
Phone
(252) 864-1431

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2573 Stantonsburg Rd Ste B
Greenville, NC 27834-7213

Mailing address

2573 Stantonsburg Rd Ste B
Greenville, NC 27834-7213
Phone (252) 248-5978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220614001429 NC Part B Supplier - Clinic/Group Practice 2466831912 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2259075Amazing Grace Healthcare, PLLC2573 Stantonsburg Rd Ste B, Greenville, NC 27834Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

Locations

2573 Stantonsburg Rd
#B
Greenville, NC 27834
Phone (252) 215-5200

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1689329930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 STANTONSBURG RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347213",
            "telephone_number": "252-248-5978",
            "fax_number": "252-751-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2573 STANTONSBURG RD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347213",
            "telephone_number": "252-248-5978",
            "fax_number": "252-751-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A",
        "authorized_official_last_name": "PINEDA",
        "authorized_official_first_name": "CINTHIA",
        "authorized_official_middle_name": "DAYANARA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "252-864-1431",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.