Individual provider Active NPI

Grace Liem Galloway, NP, PHD

  • Family Nurse Practitioner
  • Laurinburg, NC
National Provider Identifier
1518178003
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201922 Issued in NC
Practice address
1781B S Main St
Laurinburg, NC 28352-5407
Phone
(980) 322-5447
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201922 NC Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 201922 NC
Community Health Nurse Practitioner 363LC1500X 201922 NC

Addresses

Primary practice location

1781B S Main St
Laurinburg, NC 28352-5407

Mailing address

1781B S Main St
Laurinburg, NC 28352-5407
Phone (980) 322-5447

Other practice location 1

106 W Dallas Rd
Stanley, NC 28164-2103
Phone (980) 322-5447

Other identifiers 1

IdentifierTypeStateIssuer
7005175MedicaidNC

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
I20060309000347 NC Practitioner - Nurse Practitioner 7618935693

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
201922NCMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liem & Lim Associates PC Current Accepting new patients

Locations

3230 Prosperity Church Rd
Ste 103
Charlotte, NC 28269
Phone (704) 548-9888

3230 Prosperity Church Rd
Ste 101
Charlotte, NC 28269
Phone (704) 510-3100

3230 Prosperity Church Rd
Ste 102
Charlotte, NC 28269
Phone (704) 510-4366

528A Lake Concord Rd NE
Concord, NC 28025
Phone (704) 712-1997

1781B S Main St
Laurinburg, NC 28352
Phone (910) 506-4018

4315 Ludgate St
Lumberton, NC 28358
Phone (910) 258-8222

106 W Dallas Rd
Stanley, NC 28164
Phone (910) 506-4018

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1518178003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781B S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "980-322-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781B S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525407",
            "telephone_number": "980-322-5447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 W Dallas Rd",
            "address_purpose": "LOCATION",
            "city": "Stanley",
            "state": "NC",
            "postal_code": "281642103",
            "country_code": "US",
            "telephone_number": "980-322-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "GRACE",
        "middle_name": "LIEM",
        "name_prefix": "Ms.",
        "credential": "NP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201922",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NC",
            "license": "201922",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "201922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.