NPI age
16 years
Enumerated 2010-01-07
● Active Type 2 · Organization
Grace Medical Practice Llc
Grace Medical Practice Llc is 1 of 655 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Osinubi
Physician
Last NPPES update
2010-01-07
Source: monthly bulk 2026-05
How this organization compares
Across 655 active clinic/center providers in Georgia.
NPI age
16 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-01Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3885 Princeton Lakes Way Sw, Suite 402
Atlanta, GA 303315589
Mailing address
Po Box 20156
Atlanta, GA 303250156
Authorized official
Fidelia Osinubi
Physician
📞 4048610291
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jacques Gordon, DMD Dentist NPI 1881729820
- Pickens Patterson, MD Pain Medicine NPI 1316926058
- Lisa Perry-Gilkes, M.D. Otolaryngology NPI 1811989478
- Phaedra Simmons, CRNA Nurse Anesthetist, Certified Registered NPI 1659650372
- Charis Trench-Simmons, M.D. Obstetrics & Gynecology NPI 1245490085
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.