Grace Family Practice Clinic, P.C.
NPI 1083124671 · Family Medicine Physician · Dyersburg, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Family Practice Clinic, P.C. is a Family Medicine Physician organization in Dyersburg, TN (NPI 1083124671).
Provider details
- NPI number
- 1083124671
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Monique Casey-Bolden, President(731) 288-0911
- License
- MD25289 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-10-09
- Last updated
- 2017-10-09
Frequently asked questions
- What is Grace Family Practice Clinic, P.C.'s NPI number?
- Grace Family Practice Clinic, P.C.'s National Provider Identifier (NPI) is 1083124671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Family Practice Clinic, P.C.?
- Grace Family Practice Clinic, P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grace Family Practice Clinic, P.C. located?
- Grace Family Practice Clinic, P.C.'s practice location on file with NPPES is 1716 Parr Ave Ste D, Dyersburg, TN 38024-2074.
- What is Grace Family Practice Clinic, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Grace Family Practice Clinic, P.C. is (731) 288-0911.
- Does Grace Family Practice Clinic, P.C. accept Medicare?
- Grace Family Practice Clinic, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grace Family Practice Clinic, P.C.?
- The authorized official listed on Grace Family Practice Clinic, P.C.'s NPPES record is Monique Casey-Bolden, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Family Practice Clinic, P.C.'s NPI active?
- Yes — Grace Family Practice Clinic, P.C.'s NPI (1083124671) is active in the NPPES registry as of the last update on 2017-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.