Individual provider Active NPI

Grace Delia Sabine, PA-C

  • Physician Assistant
  • Wake Forest, NC
National Provider Identifier
1053208124
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15665 Issued in NC
Practice address
620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108
Phone
(919) 761-5678
NPI assigned
Jun 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-15665 NC Primary

Addresses

Primary practice location

620 Dr Calvin Jones Hwy Ste 212
Wake Forest, NC 27587-3108

Mailing address

1604 Radcliffe CT
Newtown Square, PA 19073-1050
Phone (732) 861-7737

Other practice location 1

13271 Strickland Rd Ste 120
Raleigh, NC 27613-5228
Phone (919) 741-4677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107003222 NC Practitioner - Physician Assistant 6002306933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

620 Dr Calvin Jones Hwy
Suite 212
Wake Forest, NC 27587-3108
Phone (919) 761-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-15665NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Durham Medical Group PA CurrentSince Aug 22, 2025 Accepting new patients
Raleigh Durham Medical Group PA CurrentSince Aug 22, 2025 Accepting new patients

Locations

97 Cornerstone Dr
Cary, NC 27519
Phone (919) 460-0993

7124 US Highway 64 E
Knightdale, NC 27545
Phone (919) 266-6211

13271 Strickland Rd
Ste 120
Raleigh, NC 27613
Phone (919) 741-4677

620 Dr Calvin Jones Hwy
Ste 212
Wake Forest, NC 27587
Phone (919) 761-5678

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1053208124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 RADCLIFFE CT",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731050",
            "telephone_number": "732-861-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 DR CALVIN JONES HWY STE 212",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873108",
            "telephone_number": "919-761-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13271 Strickland Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276135228",
            "country_code": "US",
            "telephone_number": "919-741-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABINE",
        "first_name": "GRACE",
        "middle_name": "DELIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-21",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.