Southern Grace Healthcare
NPI 1043609134 · Internal Medicine Physician · Mcdonough, GA
Southern Grace Healthcare is a Internal Medicine Physician organization in Mcdonough, GA (NPI 1043609134).
Provider details
- NPI number
- 1043609134
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Aubrey Kekiwi, Ceo(678) 432-8811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- In Home Supportive Care Agency253Z00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-01-13
- Last updated
- 2015-01-13
Frequently asked questions
- What is Southern Grace Healthcare's NPI number?
- Southern Grace Healthcare's National Provider Identifier (NPI) is 1043609134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Grace Healthcare?
- Southern Grace Healthcare is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Grace Healthcare located?
- Southern Grace Healthcare's practice location on file with NPPES is 364 Racetrack Rd, Mcdonough, GA 30252-1022.
- What is Southern Grace Healthcare's phone number?
- The practice phone number listed in the NPPES registry for Southern Grace Healthcare is (678) 432-8811.
- Who is the authorized official for Southern Grace Healthcare?
- The authorized official listed on Southern Grace Healthcare's NPPES record is Aubrey Kekiwi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Grace Healthcare's NPI active?
- Yes — Southern Grace Healthcare's NPI (1043609134) is active in the NPPES registry as of the last update on 2015-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.