Gracewood Community Services – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1629146311

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Gracewood Community Services is a healthcare provider. based in Augusta, Georgia. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for Gracewood Community Services is 1629146311

Main info

Organization
Name
Gracewood Community Services
NPI
1629146311
Phone
(706) 790-2030
Address
100 MYRTLE BLVD
Authorized Official
DR. GAIL C JACKSON REGIONAL HOSPITAL ADMINISTRATOR M.D.
Enumeration Date
1 December 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Gracewood Community Services

  • 100 MYRTLE BLVD

    AUGUSTA, GA 308121500

    Phone: (706) 790-2030

    Type: Mailing

  • 3518 SNOWDEN DR

    HEPHZIBAH, GA 308156631

    Phone: (706) 790-2034

    Type: Location

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

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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 ·

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

Insurance plans in this area (ZIP 30812)

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Reviews

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Frequently asked questions

How do I look up Gracewood Community Services by NPI?
Use NPI 1629146311 when you need to reference Gracewood Community Services in forms, claims, or directories.
Does this profile mean Gracewood Community Services is currently active?
Yes — Gracewood Community Services appears active in the national provider directory.
Does Gracewood Community Services list a primary specialty?
If you are matching referrals, note Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility for Gracewood Community Services. Clinical services aligned with this taxonomy classification.
Where is Gracewood Community Services's primary listing?
We display Augusta, Georgia because that is what the record indicates for Gracewood Community Services.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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