Grace DPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRACE DPC

Practice address

221 S Grand Ave
Cherokee, OK 73728-2029

Phone

(580) 307-6263

Fax

(580) 603-8602

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Niki Lewis-Wyatt, PA-C

Title

President

Phone

(580) 307-6263

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1477025658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S GRAND AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282029",
            "telephone_number": "580-307-6263",
            "fax_number": "580-603-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S GRAND AVE",
            "city": "CHEROKEE",
            "state": "OK",
            "postal_code": "737282029",
            "telephone_number": "580-307-6263",
            "fax_number": "580-603-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "LEWIS-WYATT",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-307-6263",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherokee Public Schools
• Destiny Etter
• Keenan L Ferguson, D.O.
• Brandi K Fulgham, MCP, LPC
• Leva Darryle Gibson, DDS
• Great Salt Plains Health Center
• Great Salt Plains Health Center, Inc.
• Great Salt Plains Health Center, Inc.
• Hawkins Pharmacy PC
• Damon Hawkins, DPH

• Family Medicine Physician in Cherokee, OK
• Providers in Cherokee, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.