Active NPI
Grace Reagan Garach, PA-C
- Physician Assistant
- Raleigh, NC
National Provider Identifier
1285419846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhealth Center, Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Raleigh, NC
- NPI 1932849858
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.