Individual provider Active NPI

Emad Sabry Shafiek Grace, M.D

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1790989499
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME171040 Issued in FL
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

Updated by the provider on Feb 21, 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 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

IdentifierTypeStateIssuer
151NMOtherNCBCBSNC
305501MedicaidSC
5911132MedicaidNC

Electronic endpoints 3

TypeEndpointUseAffiliation
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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20101206000080 SC Practitioner - Internal Medicine 1658435987 Reassigns benefits to 3 organizations
I20190703000532 NY Practitioner - Internal Medicine 1658435987 Reassigns benefits to 1 organization
I20241109000507 FL Practitioner - Internal Medicine 1658435987 Reassigns benefits to 1 organization

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
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

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 Hospice, Ormond Beach, FL, CCN 101539
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01432NCMDInternal Medicine Physician
30550SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Hospitalist Services LLC CurrentSince Aug 1, 2019 Accepting new patients
Waccamaw Community Hospital CurrentSince May 1, 2017 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2015 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Aug 1, 2015 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince Nov 2, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.