Grace Womens Clinic PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

9800935 Issued in NC

Legal business name

GRACE WOMENS CLINIC PA

Practice address

2280 S Church St Ste 201
Suite 201
Burlington, NC 27215-5397

Phone

(336) 538-2014

Fax

(336) 538-2015

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lynde Knowles-Jonas, MDNPI 1053375535

Title

Physician

Phone

(336) 538-2014

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• GRACE WOMENS CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Lynde Leigh Knowles-Jonas, MD

  • Obstetrics & Gynecology Physician
  • Burlington, NC
  • NPI 1053375535
  Medicare reassignment NPD Authorized official
• Molly Jean Crossman, WHNP-BC

  • Women's Health Nurse Practitioner
  • Sanford, NC
  • NPI 1003051418
  NPD (past)

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1871786673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 S CHURCH ST STE 201",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155397",
            "telephone_number": "336-538-2014",
            "fax_number": "336-538-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 S CHURCH ST STE 201",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155397",
            "telephone_number": "336-538-2014",
            "fax_number": "336-538-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE WOMENS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "KNOWLES-JONAS",
        "authorized_official_first_name": "LYNDE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "336-538-2014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "9800935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7911368",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D-U-N-S#",
            "identifier": "022135915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PROVIDER NPI",
            "identifier": "1053375535",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "2349572",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP#",
            "identifier": "023X3",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER PTAN",
            "identifier": "2260309A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1871786673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE WOMENS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Graydon Samuel Goodman, MD
• Michelle Potter Goodrich, DDS
• Lynnette Ann Gordon, LPC, LCAS, CRC
• Sheryl Gottlieb, DO
• Mackenzie Gould, LCSW-A
• Gracebridge Community Services
• Gracepoint Recovery Services, LLC
• Margarete Kaucher Graham, RPH
• Madison Lynn Grajzar, BCBA
• Grateful Life Counseling PLLC

• Obstetrics & Gynecology Physician in Burlington, NC
• Providers in Burlington, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.