Active NPI
Medicine With Mercy and Grace
- Clinic/Center
- Shelby, NC
National Provider Identifier
1508398553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 200000527
- Legal business name
- MEDICINE WITH MERCY AND GRACE
- Practice address
- 210 W Dale St
Shelby, NC 28150 - Phone
- (980) 295-9862
- Fax
- (704) 466-3494
- NPI assigned
- Mar 29, 2017
- Last updated
- Feb 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Jean Love, M.D.
- Title
- President
- Phone
- (980) 295-9862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 200000527 | NC | Primary |
Addresses
Primary practice location
210 W Dale St
Shelby, NC 28150
Mailing address
201 S Washington St Apt 401
Shelby, NC 28150-2617
Phone (980) 295-9862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89126G9 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
210 W Dale St
Shelby, NC 28150
Phone (980) 295-9862
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Shelby, NC
- NPI 1376594424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613779200000",
"number": "1508398553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S WASHINGTON ST APT 401",
"city": "SHELBY",
"state": "NC",
"postal_code": "281502617",
"telephone_number": "980-295-9862",
"fax_number": "704-406-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W DALE ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "28150",
"telephone_number": "980-295-9862",
"fax_number": "704-466-3494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINE WITH MERCY AND GRACE",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-29",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "980-295-9862",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NC",
"license": "200000527",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89126G9",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.