Grace Galloway LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

GRACE GALLOWAY LLC

Practice address

1781B S Main St
Laurinburg, NC 28352-5407

Phone

(910) 506-4018

Fax

(980) 294-1398

NPI assigned

Dec 12, 2023

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grace Liem Galloway, PHDNPI 1518178003

Title

Manager

Phone

(980) 322-5447

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Liem Galloway, NP, PHD

  • Family Nurse Practitioner
  • Laurinburg, NC
  • NPI 1518178003
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1023886835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PALASIDE DR NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253029",
            "telephone_number": "980-322-5447",
            "fax_number": "980-294-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781B S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "910-506-4018",
            "fax_number": "980-294-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281642103",
            "country_code": "US",
            "telephone_number": "910-506-4018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE GALLOWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "LIEM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "980-322-5447",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Denise Gonzalez, PA-C
• William Carroll Goodwin, D.D.S.
• Supreet Goraya, IBCLC
• Colby Hollis Gordon, CRNA
• Grab Logistical Solutions Inc
• Jennifer Lynn Graham
• Deborah White Greimel, M.D.
• Autumn Grimm, NP
• Sylvia S Grooms, MA, LCAS
• Joy Guest

• Addiction Medicine (Family Medicine) Physician in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Addiction Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.