Grace Medical Clinics P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GRACE MEDICAL CLINICS P.A.

Practice address

2317 Concord Lake Rd
Concord, NC 28025-2813

Phone

(704) 933-2101

Fax

(704) 933-1150

NPI assigned

Sep 1, 2006

Last updated

Feb 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Olufemi A Tokunboh

Title

Administrator

Phone

(704) 933-2101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Medical Clinics P.A Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Practitioners 7

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.

• Abelyn Agbai, FNP

  • Family Nurse Practitioner
  • Concord, NC
  • NPI 1447148978
  Medicare reassignment Care Compare group NPD
• Julius Kehinde Tokunboh, M.D.

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1952410110
  Medicare reassignment Care Compare group NPD
• Eden Asefaw Ghebresilasie, PA

  • Physician Assistant
  • North Miami Beach, FL
  • NPI 1164591400

  NC

  Medicare reassignment NPD
• Shannon Marie Lewis, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1922633361
  NPD
• Elizabeth Mellott

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1164923223
  NPD
• Sydney Thames Diakalela, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1003500091
  NPD (past)
• Sarah Kerley Stephens, PA-C, MPAS

  • Physician Assistant
  • Kannapolis, NC
  • NPI 1609061449
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1609978824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252813",
            "telephone_number": "704-933-2101",
            "fax_number": "704-933-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 CONCORD LAKE RD",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252813",
            "telephone_number": "704-933-2101",
            "fax_number": "704-933-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CLINICS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "TOKUNBOH",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-933-2101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011GG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Medical Clinics P.A",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Misty S Gordon, M.A.
• Daniel Gorman, PT
• Jacqueline Gorman, PHARM.D.
• Rebecca Joy Gossage, MFA
• Anne-Marie Elizabeth Gough, LCSWA
• Grace-N-Mercy for 'U'
• Graceful Home Care LLC
• David M Grack, PA-C
• Callaway Brooke Grady, PA
• Benjamin P Graef, D.O.

• Internal Medicine Physician in Concord, NC
• Providers in Concord, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.