Grace Medical Center LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GRACE MEDICAL CENTER LLC

Practice address

430 W Stuart Dr
Hillsville, VA 24343-1527

Phone

(276) 728-3332

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Cristie Ann Burnette, NPNPI 1861053860

Title

Owner

Phone

(276) 733-5513

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22367/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Cristie Ann Burnette, NP

  • Family Nurse Practitioner
  • Hillsville, VA
  • NPI 1861053860
  Medicare reassignment NPD Authorized official
• Medhat Elmasry, M.D.

  • Internal Medicine Physician
  • Hillsville, VA
  • NPI 1528247772
  NPD

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1952911968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243437341",
            "telephone_number": "276-728-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W STUART DR",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431527",
            "telephone_number": "276-728-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "CRISTIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-733-5513",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corina Rae Gambal
• Danyale Leann Garrett, PHARMD
• Sarah Stewart Geisler, RD
• Marlon A Goad, DDS
• Golden Bloom Therapy
• Jeanefer Grantham, FNP-C
• Elizabeth Gray Gravley, DPT
• Green Hill Home for Adults Inc.
• Thomas Nielsen Gwynn, HIS
• Warren Gwynn, O.D, M.S.

• Health Service Clinic/Center in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Health Service Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.