Grace Physicians Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRACE PHYSICIANS SERVICES

Practice address

1483 Old Cherokee Road
Lexington, SC 29072

Phone

(803) 766-7686

Fax

(803) 399-8038

NPI assigned

Oct 12, 2020

Organization subpart

Yes

Parent organization

GRACE CAREGIVERS, LLCAs reported in NPPES

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

Authorized official

Name

Kimberly Thomas-Metts

Title

Owner

Phone

(803) 743-6411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Caregivers Other name

Electronic endpoints 1

Part of

Grace Caregivers LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Grace Caregivers, LLC

  • In Home Supportive Care Agency
  • Lexington, SC
  • NPI 1003390220
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinika Suresh Patel, FNP

  • Family Nurse Practitioner
  • Greenville, SC
  • NPI 1780304766
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1700484821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 OLD CHEROKEE ROAD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-766-7686",
            "fax_number": "803-399-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 OLD CHEROKEE ROAD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "29072",
            "telephone_number": "803-766-7686",
            "fax_number": "803-399-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHYSICIANS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE CAREGIVERS, LLC",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS-METTS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-743-6411"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253Z00000X",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly@gracecaregivers.com",
            "affiliation": "N",
            "address_1": "1483 Old Cherokee Road",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grace Caregivers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cathy C Gould, PT
• Jennifer Suzanne Gould, MCD, SLP-CCC
• Marchelle Dawn Gouvin, LISW-CP
• Grace Caregivers, LLC
• Grace Home Care Services LLC
• Grace Speech Language Therapy LLC
• Claudia Graf, LPC
• Colby Elizabeth Grande, APRN-C
• Elizabeth Culver Grandin
• Tiffany Grant, LMSW

• Primary Care Clinic/Center in Lexington, SC
• Providers in Lexington, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.