Grace Medical Clinics, PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

9800405 Issued in NC

Legal business name

GRACE MEDICAL CLINICS, PA

Doing business as

Pinnacle Mecial Clinis, PA

Practice address

2401 Tuckaseegee Rd
Charlotte, NC 28208-4058

Phone

(704) 409-3000

Fax

(704) 409-2382

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Femi Tokunboh

Title

Administrator

Phone

(704) 409-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pinnacle Mecial Clinis, PA Doing business as

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

CLIA laboratory certificates

Practitioners 1

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

• Julius Kehinde Tokunboh, M.D.

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1952410110
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841256567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084058",
            "telephone_number": "704-409-3000",
            "fax_number": "704-409-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 TUCKASEEGEE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084058",
            "telephone_number": "704-409-3000",
            "fax_number": "704-409-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CLINICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOKUNBOH",
        "authorized_official_first_name": "FEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-409-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "9800405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016R2",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Mecial Clinis, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace and Mercy Home Healthcare, LLC
• Grace and Mercy Special Transportation
• Grace Childs Family Services
• Grace Family Care, PC
• Grace Mar Training and Employment Services LLC
• Grace Mercy Mobile Urgent Care Services PLLC
• Grace Pediatric Clinic, P.a.
• Grace to You LLC
• Gracefield Home Care of North Carolina LLC
• Graceful Aging Care

• Urgent Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.