Individual provider Active NPI

Daniel Aubrey Grace, MD

  • Internal Medicine Physician
  • Dalton, GA
National Provider Identifier
1982922498
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
86071 Issued in GA
Practice address
1432 Broadrick Dr
Dalton, GA 30720-3009
Phone
(706) 226-8990
Fax
(706) 529-5313
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2019013765 MO
Internal Medicine Physician 207R00000X 201401212 NC
Internal Medicine Physician 207R00000X 86071 GA Primary

Addresses

Primary practice location

1432 Broadrick Dr
Dalton, GA 30720-3009

Mailing address

1432 Broadrick Dr
Dalton, GA 30720-3009
Phone (706) 226-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140714002068 NC Practitioner - Internal Medicine 1052536745 Reassigns benefits to 1 organization
I20200723001009 GA Practitioner - Internal Medicine 1052536745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Medical Center, IncGroup PAC ID 0446151179, 105 clinicians

Practice addresses (Care Compare)

1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6000

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86071GAMDInternal Medicine Physician
2019013765MOMDInternal Medicine Physician
201401212NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Aug 25, 2014 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince Jul 27, 2020 Accepting new patients
Hamilton Physician Group Inc CurrentSince Jul 27, 2020 Accepting new patients
Henderson County Hospital Corporation Current Accepting new patients
Henderson County Hospital Corporation CurrentSince Aug 25, 2014 Accepting new patients

Locations

800 Gi Maddox Pkwy
Chatsworth, GA 30705
Phone (706) 686-8015

1107 Memorial Dr
Ste G2
Dalton, GA 30720
Phone (706) 529-3245

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1432 Broadrick Dr
Dalton, GA 30720
Phone (706) 226-8990

1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 5

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 3

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1982922498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-8990",
            "fax_number": "706-529-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203009",
            "telephone_number": "706-226-8990",
            "fax_number": "706-529-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "DANIEL",
        "middle_name": "AUBREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019013765",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201401212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.