Active NPI
Emad Sabry Shafiek Grace, M.D
- Internal Medicine Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME171040
- Practice address
- 301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167 - Phone
- (386) 231-1091
- NPI assigned
- Jun 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2008-01432 | NC | |
| Internal Medicine Physician | 207R00000X | ME171040 | FL | Primary |
Addresses
Primary practice location
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Mailing address
PO Box 935921
Atlanta, GA 31193-5921
Other practice location 1
601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6419
Other practice location 2
606 Black River Rd
Georgetown, SC 29440-3368
Phone (843) 527-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151NM | Other | NC | BCBSNC |
| 305501 | Medicaid | SC | |
| 5911132 | Medicaid | NC |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egrace447794@direct.musc.edu | Georgetown Memorial Hospital | |
| Direct Messaging Address | egrace447794@direct.musc.edu | Waccamaw Community Hospital | |
| Direct Messaging Address | emad.grace@georgetown.direct.schiex.state.sc.us | Direct | Georgetown Memorial Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
Hospital & facility affiliations
- Adventhealth Hospice Care East Florida
- Adventhealth Daytona Beach
- Adventhealth Orlando
- Adventhealth New Smyrna Beach
- Adventhealth Fish Memorial
- AdventHealth Palm Coast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01432 | NC | MD | Internal Medicine Physician |
| 30550 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delphi Hospitalist Services LLC | Current | Accepting new patients | |
| Waccamaw Community Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Past | Accepting new patients |
Locations
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
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
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
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- egrace4576300@adventhealth.direct-ci.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
-
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Ormond Beach, FL
- NPI 1801990429
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
-
- General Acute Care Hospital
- New Smyrna Beach, FL
- NPI 1871977942
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1790989499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935921",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935921"
},
{
"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": "601 N Elm St",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272624331",
"country_code": "US",
"telephone_number": "336-878-6419",
"fax_number": "336-878-6420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "606 Black River Rd",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "SC",
"postal_code": "294403368",
"country_code": "US",
"telephone_number": "843-527-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRACE",
"first_name": "EMAD",
"middle_name": "SABRY SHAFIEK",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008-01432",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME171040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "151NM",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305501",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911132",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egrace447794@direct.musc.edu",
"affiliation": "Y",
"affiliationName": "Georgetown Memorial Hospital",
"address_1": "606 Black River Rd",
"city": "Georgetown",
"state": "SC",
"country_code": "US",
"postal_code": "294403368",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egrace447794@direct.musc.edu",
"affiliation": "Y",
"affiliationName": "Waccamaw Community Hospital",
"address_1": "4070 Highway 17 Bypass",
"city": "Murrells Inlet",
"state": "SC",
"country_code": "US",
"postal_code": "295765033",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emad.grace@georgetown.direct.schiex.state.sc.us",
"affiliation": "Y",
"endpointDescription": "Direct Messaging Address",
"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": "294403368",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.