GRACE GALLOWAY LLC
NPI 1023886835
Family Medicine - Addiction Medicine in Laurinburg, NC

Active since December 12, 2023CLIA 34D2295936 · Waiver
1781B S MAIN ST, LAURINBURG, NC 28352(910) 506-4018(980) 294-1398 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Galloway Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE GALLOWAY LLC (NPI 1023886835) is a healthcare organization registered as an addiction medicine in Laurinburg, North Carolina and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through December 18, 2027, maintains a secondary practice location in Stanley, and lists Grace Liem Galloway, Manager, as its authorized official.

NPPES Registry Identity

NPI1023886835
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameGRACE GALLOWAY LLC
Location Address1781B S MAIN STLaurinburg, NC 28352-5407
Mailing Address217 Palaside Dr NeConcord, NC 28025-3029 · (980) 322-5447 · Fax (980) 294-1398
Fax(980) 294-1398
Organization SubpartNo
Authorized OfficialGrace Liem GallowayManager · (980) 322-5447
Enumeration DateDecember 12, 2023
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1023886835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1781B S MAIN ST, Laurinburg, NC 28352

Secondary Practice Location 1

Location 1106 W Dallas RdStanley, NC 28164-2103 · Phone (910) 506-4018

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2295936

Grace Galloway LLC · Laurinburg, NC
Active · expires Dec 18, 2027
CLIA Number34D2295936
Laboratory TypePractitioner Other
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorGrace L. Galloway
Laboratory Phone(910) 506-4018
Laboratory LocationGrace Galloway LLC1781B S Main Street, Laurinburg, NC 28352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1781B S MAIN ST
LAURINBURG, NC 28352
Student in an Organized Health Care Education/Training Program
1781B S MAIN ST
LAURINBURG, NC 28352
Nurse Practitioner (Family)
1781B S MAIN ST
LAURINBURG, NC 28352
Registered Nurse (Community Health)
1781B S MAIN ST
LAURINBURG, NC 28352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Galloway LLC's NPI number?

The NPI number for Grace Galloway LLC is 1023886835. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Grace Galloway LLC located?

Grace Galloway LLC is located at 1781B S Main St, Laurinburg, NC 28352. The listed phone number is (910) 506-4018.

What is Grace Galloway LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Grace Galloway LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2295936) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace Galloway LLC was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.