Organization Active NPI

Grace Health Direct Primary Care, PLLC

  • Primary Care Clinic/Center
  • Colleyville, TX
National Provider Identifier
1760274807
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GRACE HEALTH DIRECT PRIMARY CARE, PLLC
Practice address
6100 Colleyville Blvd Ste 160
Colleyville, TX 76034-8021
Phone
(817) 587-9074
Fax
(817) 803-8768
NPI assigned
May 22, 2025
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Dr. Andrew W. Awad, MDNPI 1548617061
Title
Ceo
Phone
(817) 587-9074

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6100 Colleyville Blvd Ste 160
Colleyville, TX 76034-8021

Mailing address

6100 Colleyville Blvd Ste 160
Colleyville, TX 76034-8021
Phone (817) 587-9074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602002044 TX Part B Supplier - Clinic/Group Practice 6507375516 Receives reassigned benefits from 1 practitioner
Practice locations: Colleyville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2293956Grace Health Direct Primary Care, PLLC6100 Colleyville Blvd Suite 160, Colleyville, TX 76034Certificate of waiverNov 15, 2027

National Provider Directory

National Provider Directory

Locations

6100 Colleyville Blvd
Ste 160
Colleyville, TX 76034
Phone (817) 416-7800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHIDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1760274807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 COLLEYVILLE BLVD STE 160",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348021",
            "telephone_number": "817-587-9074",
            "fax_number": "817-803-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 COLLEYVILLE BLVD STE 160",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348021",
            "telephone_number": "817-587-9074",
            "fax_number": "817-803-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-587-9074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.