Graceville Medical Clinic – Family Medicine Physician, NPI 1942348040

Graceville Medical Clinic is a healthcare provider. based in Graceville, Florida. specializing in Family Medicine Physician. The organization holds a License No. ME90551 (FL). The NPI Number for Graceville Medical Clinic is 1942348040

Main info

Organization
Name
Graceville Medical Clinic
NPI
1942348040
Phone
(850) 263-4431
Address
5429 COLLEGE DR
Authorized Official
MS. DENA R COOPER CONTROLLER
Enumeration Date
1 February 2007
Last Update Date
14 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Graceville Medical Clinic

  • Campbellton-Graceville Hospital, 5429, College Drive, Graceville, Jackson County, Florida, 32440, United States

    GRACEVILLE, FL 324401857

    Phone: (850) 263-4431

    Fax: (850) 263-3312

    Type: Location

  • 5470, College Drive, Graceville, Jackson County, Florida, 32440, United States

    GRACEVILLE, FL 324401304

    Phone: (850) 263-2459

    Fax: (850) 263-3312

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32440)

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Reviews

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Frequently asked questions

How do I look up Graceville Medical Clinic by NPI?
Use NPI 1942348040 when you need to reference Graceville Medical Clinic in forms, claims, or directories.
Is Graceville Medical Clinic active in the national directory?
Graceville Medical Clinic's public NPI profile is in an active state.
What kind of provider is Graceville Medical Clinic?
The page reflects Family Medicine Physician for Graceville Medical Clinic. Clinical services aligned with this taxonomy classification.
Where is Graceville Medical Clinic's primary listing?
We display Graceville, Florida because that is what the record indicates for Graceville Medical Clinic.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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