GRACEWAY HEALTH CARE LLC
NPI 1356203020
Internal Medicine in Annapolis, MD

Active since December 01, 2025
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401(667) 300-8222(667) 300-8222 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Graceway Health Care Llc NPPES

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

GRACEWAY HEALTH CARE LLC (NPI 1356203020) is a healthcare organization registered as an internal medicine in Annapolis, Maryland and active in the NPI registry since December 2025. The organization lists Krystle D Brown, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1356203020
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACEWAY HEALTH CARE LLC
Location Address2700 SOUTHAVEN RDAnnapolis, MD 21401-7122
Mailing Address10259 Cabery RdEllicott City, MD 21042-1605 · (410) 870-9380 · Fax (410) 870-9380
Fax(667) 300-8222
Organization SubpartNo
Authorized OfficialKrystle D BrownPractice Administrator · (410) 800-6251
Enumeration DateDecember 1, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1356203020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2700 SOUTHAVEN RD, Annapolis, MD 21401

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graceway Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Graceway Health Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner12
Internal Medicine5
Endocrinology1

Clinicians, nearest first (18)

Nurse Practitioner
NPI 1568007862
16705 ELDBRIDGE LN
Bowie, MD 20716
(240) 460-9032
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1952642357
13912 EDSALL ST
Upper Marlboro, MD 20772
(301) 613-5570
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1386282937
7204 MORRISON DR
Greenbelt, MD 20770
(301) 512-0726
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1568918472
11120 NEW HAMPSHIRE AVE SUITE 309
Silver Spring, MD 20904
(240) 991-2197
✔ PECOS✔ Accepts Medicare22 mi
Internal Medicine
NPI 1467685586
827 LINDEN AVE
Baltimore, MD 21201
(410) 225-8000
✔ PECOS✔ Accepts Medicare23 mi
Internal Medicine
NPI 1255579744
10710 CHARTER DR SUITE 310
Columbia, MD 21044
(410) 997-5944
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1811469414
1232 RACE RD STE 403
Rosedale, MD 21237
(480) 878-7806
✔ PECOS✔ Accepts Medicare26 mi
Internal Medicine
NPI 1386971927
10259 CABERY RD
Ellicott City, MD 21042
(410) 870-9380
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1841941242
5401 OLD COURT RD
Randallstown, MD 21133
(443) 635-0583
✔ PECOS29 mi
Endocrinology
NPI 1528226719
12070 OLD LINE CTR STE 207
Waldorf, MD 20602
(301) 609-6397
✔ PECOS✔ Accepts Medicare30 mi
Nurse Practitioner
NPI 1073846382
11311 MCCORMICK RD STE 350
Hunt Valley, MD 21031
(443) 849-3184
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1144734492
2702 BACK ACRE CIR
Mount Airy, MD 21771
(410) 245-0921
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1528594462
1311 S MAIN ST
Mount Airy, MD 21771
(571) 349-0920
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1528647757
1234 WASHINGTON RD
Westminster, MD 21157
(410) 848-0700
✔ PECOS✔ Accepts Medicare45 mi
Internal Medicine
NPI 1700170552
100 E CARROLL ST
Salisbury, MD 21801
(410) 543-7536
✔ PECOS✔ Accepts Medicare68 mi
Nurse Practitioner
NPI 1235814682
1126 OPAL CT
Hagerstown, MD 21740
(301) 788-0901
✔ PECOS75 mi
Internal Medicine
NPI 1013934181
2213 STANLEY AVE SE
Roanoke, VA 24014
(571) 338-9463
✔ PECOS✔ Accepts Medicare218 mi
Nurse Practitioner
NPI 1952771941
4323 CAROTHERS PKWY SUITE 205
Franklin, TN 37067
(615) 435-6690
✔ PECOS✔ Accepts Medicare600 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Graceway Health Care LLC's NPI number?

The NPI number for Graceway Health Care LLC is 1356203020. It was assigned to this organization in the NPPES registry on December 1, 2025.

Where is Graceway Health Care LLC located?

Graceway Health Care LLC is located at 2700 Southaven Rd, Annapolis, MD 21401. The listed phone number is (667) 300-8222.

What is Graceway Health Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Graceway Health Care LLC enrolled in Medicare?

Yes. Graceway Health Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graceway Health Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Graceway Health Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Internal Medicine (5) and Endocrinology (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Graceway Health Care LLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.