Grace Concierge and Wellness Services, PLLC
NPI 1770451445ActiveOrganization· Nurse Practitioner· Winston Salem, NC
Nurse Practitioner in Winston Salem, North Carolina, registered in NPPES in October 2025. The authorized official on file is Latara Craddock, FNP-BC, Owner/Operator.
Overview
| NPI | 1770451445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2025 |
| Last updated in NPPES | Jul 15, 2026 |
| Certified by provider | Jul 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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