Individual provider Active NPI

Grace Reagan Garach, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1285419846
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13705 Issued in NC
Practice address
2605 Blue Ridge Rd Ste 225
Raleigh, NC 27607-6459
Phone
(984) 222-8000
Fax
(984) 222-8001
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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 0010-13705 NC Primary

Addresses

Primary practice location

2605 Blue Ridge Rd Ste 225
Raleigh, NC 27607-6459

Mailing address

6300 Canary Falls LN Apt 306
Raleigh, NC 27606-5855
Phone (910) 990-0908

Other names 1

  • Miss Grace Ives Reagan Former name

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
I20241014004079 NC Practitioner - Physician Assistant 8729510813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhealth Center IncGroup PAC ID 1153677604, 11 clinicians

Practice addresses (Care Compare)

2605 Blue Ridge Rd
Suite 225
Raleigh, NC 27607-6459
Phone 98422280008017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhealth Center, Inc. CurrentSince Jun 16, 2024 Accepting new patients

Locations

2605 Blue Ridge Rd
Ste 225
Raleigh, NC 27607
Phone (984) 222-8000

2605 Blue Ridge Rd
Ste 240
Raleigh, NC 27607
Phone (919) 277-9845

Organizations & group practices 1

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1285419846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CANARY FALLS LN APT 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276065855",
            "telephone_number": "910-990-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BLUE RIDGE RD STE 225",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076459",
            "telephone_number": "984-222-8000",
            "fax_number": "984-222-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARACH",
        "first_name": "GRACE",
        "middle_name": "REAGAN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "REAGAN",
            "middle_name": "IVES",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.