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GRACE DPC
NPI 1477025658
Family Medicine in Cherokee, OK

Active since December 27, 2018CLIA 37D2161164 · Waiver
221 S GRAND AVE, CHEROKEE, OK 73728(580) 307-6263(580) 603-8602 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Sep 19, 2021, Dec 8, 2019 and 3 more (6 updates tracked since 2018).

About Grace Dpc NPPES

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

GRACE DPC (NPI 1477025658) is a healthcare organization registered as a family medicine in Cherokee, Oklahoma and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Niki Lewis-wyatt, President, as its authorized official.

NPPES Registry Identity

NPI1477025658
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE DPC
Location Address221 S GRAND AVECherokee, OK 73728-2029
Mailing Address221 S Grand AveCherokee, OK 73728-2029 · (580) 307-6263 · Fax (580) 603-8602
Phone(580) 307-6263
Fax(580) 603-8602
Organization SubpartNo
Authorized OfficialNiki Lewis-wyattPresident · (580) 307-6263
Enumeration DateDecember 27, 2018
Last NPPES UpdateDecember 12, 20256 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1477025658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
221 S GRAND AVE, Cherokee, OK 73728
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 37D2161164

Grace Dpc · Cherokee, OK
Active · expires Jan 27, 2027
CLIA Number37D2161164
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorNiki Lewis-Wyatt
Laboratory Phone(580) 307-6263
Laboratory LocationGrace Dpc221 S Grand Ave, Cherokee, OK 73728
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 3

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

INTEGRIS RURAL HEALTH INC
Family Medicine
221 S GRAND AVE
CHEROKEE, OK 73728
Alfalfa County (580) 596-3516
BASS MEMORIAL BAPTIST HOSPITAL
Family Medicine
221 S GRAND AVE
CHEROKEE, OK 73728
Alfalfa County (580) 596-3516
NIKI S LEWIS-WYATT PAC
Physician Assistant (Medical)
221 S GRAND AVE
CHEROKEE, OK 73728
Alfalfa County (580) 307-6263

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 Dpc's NPI number?

The NPI number for Grace Dpc is 1477025658. It was assigned to this organization in the NPPES registry on December 27, 2018.

Where is Grace Dpc located?

Grace Dpc is located at 221 S Grand Ave, Cherokee, OK 73728. The listed phone number is (580) 307-6263.

What is Grace Dpc's specialty?

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

Does Grace Dpc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2161164) is associated with this NPI, valid through January 27, 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 Dpc was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.