Grace Pediatric Clinic, P.A.
NPI 1447307384 · Pediatrics Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Pediatric Clinic, P.A. is a Pediatrics Physician organization in Charlotte, NC (NPI 1447307384).
Provider details
- NPI number
- 1447307384
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julius Tokunboh, Medical Director(709) 409-3000
- License
- 9800405 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-01-04
- Last updated
- 2020-08-22
Frequently asked questions
- What is Grace Pediatric Clinic, P.A.'s NPI number?
- Grace Pediatric Clinic, P.A.'s National Provider Identifier (NPI) is 1447307384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Pediatric Clinic, P.A.?
- Grace Pediatric Clinic, P.A. is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Grace Pediatric Clinic, P.A. located?
- Grace Pediatric Clinic, P.A.'s practice location on file with NPPES is 2401 Tuckaseegee Rd, Charlotte, NC 28208-4058.
- What is Grace Pediatric Clinic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Grace Pediatric Clinic, P.A. is (704) 409-3000.
- Does Grace Pediatric Clinic, P.A. accept Medicare?
- Grace Pediatric Clinic, P.A. 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 Pediatric Clinic, P.A.?
- The authorized official listed on Grace Pediatric Clinic, P.A.'s NPPES record is Julius Tokunboh, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Pediatric Clinic, P.A.'s NPI active?
- Yes — Grace Pediatric Clinic, P.A.'s NPI (1447307384) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.