Graceful Care Management LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRACEFUL CARE MANAGEMENT LLC

Doing business as

Graceful Care Clinic

Practice address

203 Nacogdoches St Ste 360
Jacksonville, TX 75766-2454

Phone

(903) 586-3505

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Stacy McCown, FNP-C

Title

Office Manager

Phone

(903) 586-3505

Specialties & licenses 1

Addresses

Other names 1

• Graceful Care Clinic Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Ray Low Jr, MD

  • Internal Medicine Physician
  • Jacksonville, TX
  • NPI 1083616403
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609632000000",
    "number": "1225671035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1766",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757661766",
            "telephone_number": "903-586-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NACOGDOCHES ST STE 360",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757662454",
            "telephone_number": "903-586-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL CARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A",
        "authorized_official_last_name": "MCCOWN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-586-3505",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gracefulcareclinic",
            "affiliation": "N",
            "address_1": "2011 S Jackson St",
            "city": "Jacksonville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757665821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Graceful Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graceful Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Goldman, PTA
• Grace Rental Inc.
• Grace Visiting Nurses and Home Health Services Inc
• Grace Visiting Nurses and Home Health Services, Inc.
• Grace Visiting Nurses and Home Health Services, Inc.
• Damarion Greenwood, RN
• Gregory M Stirneman DPM PA
• Emily Gross, LPC
• Robert N Haberle, DC
• Katie B Hamilton, PA-C

• Primary Care Clinic/Center in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.