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Grace Medical & Wellness Clinic, LLC

Addiction Medicine (Psychiatry & Neurology) Physician in Laurel, MS · enumerated 2026 · authorized official Tina Naylor, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609704840

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Registry record

Entity type Organization (Type 2)
Legal business name Grace Medical & Wellness Clinic, LLC
Practice address 1104 W 1st St Ste 3, Laurel, MS, 39440
Enumeration date May 9, 2026
Last updated in NPPES May 9, 2026

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084A0401X Addiction Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Tina Naylor
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Grace Medical & Wellness Clinic, LLC?
The NPI for Grace Medical & Wellness Clinic, LLC is 1609704840, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Grace Medical & Wellness Clinic, LLC?
NPPES lists Tina Naylor (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-09.