NPIMap

Individual provider Active NPI

Fady S Grace, MD

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1669679007
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME170988 Issued in FL
Practice address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone
(386) 231-1091
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME170988 FL Primary
Internal Medicine Physician 207R00000X TL30226 SC

Addresses

Primary practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7255

Other practice location 2

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Other practice location 3

4070 Highway 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

Other identifiers 1

IdentifierTypeStateIssuer
302265MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fgrace351877@direct.musc.edu Direct Georgetown Memorial Hospital
Direct Messaging Address fgrace351877@direct.musc.edu Direct Waccamaw Community Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, CT, FL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071018000273 SC Practitioner - Internal Medicine 4587750807 Reassigns benefits to 5 organizations
I20090429000696 NC Practitioner - Internal Medicine 4587750807 Reassigns benefits to 1 organization
I20240903002251 CT Practitioner - Internal Medicine 4587750807 Reassigns benefits to 1 organization
I20241106001453 FL Practitioner - Internal Medicine 4587750807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waccamaw Community HospitalGroup PAC ID 9133036932, 65 clinicians
Georgetown Memorial HospitalGroup PAC ID 8224942123, 90 clinicians

Practice addresses (Care Compare)

4070 Hwy 17
Murrells Inlet, SC 29576-5033
Phone (843) 652-1000

606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TL30226SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince Jul 8, 2015 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 5, 2016 Accepting new patients
Waccamaw Community Hospital CurrentSince May 1, 2017 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Nov 29, 2022 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Jul 8, 2015 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince Oct 26, 2024 Accepting new patients
Medicos, P.a. Internal Medicine PastSince Feb 11, 2024 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: fgrace351877@direct.musc.edu
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: fgrace4576304@adventhealth.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1669679007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "386-231-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692827",
            "country_code": "US",
            "telephone_number": "843-716-7255",
            "fax_number": "843-716-7286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403304",
            "country_code": "US",
            "telephone_number": "843-527-7000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4070 Highway 17",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765033",
            "country_code": "US",
            "telephone_number": "843-652-1000",
            "fax_number": "843-520-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "FADY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME170988",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "TL30226",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302265",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fgrace351877@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "606 Black River Rd",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fgrace351877@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Waccamaw Community Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4070 Highway 17",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.