Grace Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GRACE PEDIATRICS PLLC

Practice address

3001 Reserve Blvd Ste 200
Spring Hill, TN 37174-3101

Phone

(615) 302-1279

Fax

(615) 302-5279

NPI assigned

May 9, 2024

Last updated

Nov 19, 2025By 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

Angela Stout

Title

Office Manager

Phone

(615) 459-5252

Specialties & licenses 1

Addresses

Tax ID family

Grace Pediatrics PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
  • NPI 1467781690
  NPD tax ID
• Grace Pediatrics PLLC

  • Pediatrics Physician
  • Pleasant View, TN
  • NPI 1992553689
  NPD tax ID

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1710735220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 ROCK SPRINGS RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676108",
            "telephone_number": "615-459-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 RESERVE BLVD STE 200",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371743101",
            "telephone_number": "615-302-1279",
            "fax_number": "615-302-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-459-5252"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Nathaniel Gibson
• Melba Joyce Goodwin, RDH
• David Edward Goss, PHARMD
• Shelli Margaret Goss
• Virgilio P Gozum, O.D.
• Callie Graves, PA-C
• Tanya Green, CPM
• Victoria Greer, PA-C
• Cassie Marie Grimes, OT
• Timothy Ronald Grimes

• Pediatrics Physician in Spring Hill, TN
• Providers in Spring Hill, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.