Sheryl Grace, PHD

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

180 Thacker Rd
Rural Hall, NC 27045-9629

Phone

(336) 391-6133

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Interoperability endpoints

• Direct secure messaging: edpath@org12.direct.charmhealth.com

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.

• Edpath Specialized Learning Services, LLC

  • Early Intervention Provider Agency
  • Rural Hall, NC
  • NPI 1891148730
  NPD Authorized official
• Sheryl H Grace

  • Early Intervention Provider Agency
  • Rural Hall, NC
  • NPI 1760868905
  NPD (past) Authorized official

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1386026318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THACKER RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459629",
            "telephone_number": "336-705-1763",
            "fax_number": "833-377-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THACKER RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459629",
            "telephone_number": "336-391-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "SHERYL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497370894",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edpath@org12.direct.charmhealth.com",
            "affiliation": "N",
            "endpointDescription": "CHARM Health-Health Management System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 Thacker Rd",
            "city": "Rural Hall",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270459629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eckerd Corporation
• Edpath Specialized Learning Services, LLC
• Cathy Jo Fanning, DO
• Denise Fetters, LCMHC
• Kristen Gish, RN, IBCLC
• Tarsha M. Hall, MSW, LCSW
• Healing Wings Counseling PLLC
• John A. Hedin, MS PT
• James Robert Helsabeck, DDS
• Darlene Wright Hood

• All providers in Rural Hall, NC
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.