GRACE MEDICAL GROUP, LLC - NPI 1346468204 - Family Medicine in Columbia, SC

Q: What is Grace Medical Group, LLC's NPI number?

The NPI number for Grace Medical Group, LLC is 1346468204. It was assigned to this organization in the NPPES registry on April 23, 2007.

Q: What is Grace Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Grace Medical Group, Llc NPPES

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

GRACE MEDICAL GROUP, LLC (NPI 1346468204) is a healthcare organization registered as a family medicine in Columbia, South Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through October 27, 2027 and lists Cynthia Mathews-betts, Md, as its authorized official.

NPPES Registry Identity

NPI1346468204

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRACE MEDICAL GROUP, LLC

Location Address3025 FARROW RDColumbia, SC 29203

Mailing Address3025 Farrow RdColumbia, SC 29203 · (803) 933-0288 · Fax (803) 933-9920

Phone(803) 933-0288

Fax(803) 933-9920

Organization SubpartNo

Authorized OfficialCynthia Mathews-bettsMd · (803) 933-0288

Enumeration DateApril 23, 2007

Last NPPES UpdateAugust 17, 2023

✔ NPI 1346468204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 12184 (SC)

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 13924 (SC)

3025 FARROW RD, Columbia, SC 29203

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Other Identifiers 1

MedicaidGP3812SC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Molina Healthcare.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 42D1018654

Grace Medical Group LLC · Columbia, SC

Active · expires Oct 27, 2027

CLIA Number42D1018654

Laboratory TypePhysician Office

Certificate Effective DateOctober 28, 2025

Certificate Expiration DateOctober 27, 2027

Laboratory DirectorCynthia L. Matthews-Betts MD

Laboratory Phone(803) 922-0288

Laboratory LocationGrace Medical Group LLC3025 Farrow Road, Columbia, SC 29203

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

MRS. KELLY MICHELE MYERS FNP-C

Nurse Practitioner (Family)