OrganizationActive
Amazing Grace Primary Care, LLC
NPI 1821702663 · Family Nurse Practitioner · Chiefland, FL
Provider details
- NPI number
- 1821702663
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sally Martinez, Ceo(352) 339-8981
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
110 E Park Ave
Chiefland, FL 32626-0901
Phone: (352) 949-0478
Fax: (352) 752-3305
Street-level locationGet directions
Mailing address
110 E Park Ave
Chiefland, FL 32626-0901
Registry dates
- Enumerated
- 2023-01-06
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.