GRACE VANDEVELDE TABOR MD
NPI 1174467955
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since April 14, 2026PECOS Enrolled
101 MANNING DR, CHAPEL HILL, NC 27514(984) 974-1000 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Vandevelde Tabor Md NPPES

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

GRACE VANDEVELDE TABOR MD (NPI 1174467955) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174467955
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGRACE VANDEVELDE TABORCredential: MD
Location Address101 MANNING DRChapel Hill, NC 27514-4226
Mailing Address307 Columbia Pl EChapel Hill, NC 27516-2161 · (980) 475-2686
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
NPI 1174467955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 MANNING DR, Chapel Hill, NC 27514

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace Vandevelde Tabor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Pharmacist (Pharmacotherapy)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Pharmacist (Oncology)
101 MANNING DR, CB#7600, UNC HOSPITAL
CHAPEL HILL, NC 27514
Nurse Practitioner
101 MANNING DR
CHAPEL HILL, NC 27514
Pharmacist (Oncology)
101 MANNING DR, CB 7600
CHAPEL HILL, NC 27514
Student in an Organized Health Care Education/Training Program
101 MANNING DR
CHAPEL HILL, NC 27514
Registered Nurse
101 MANNING DR
CHAPEL HILL, NC 27514
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
101 MANNING DR
CHAPEL HILL, NC 27514
Internal Medicine (Cardiovascular Disease)
101 MANNING DR
CHAPEL HILL, NC 27514

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 Tabor's NPI number?

The NPI number for Grace Tabor is 1174467955. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Grace Tabor located?

Grace Tabor practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-1000.

What is Grace Tabor's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Tabor enrolled in Medicare?

Yes. Grace Tabor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Tabor was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.