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DR. GRACE JESSICA THOLE DO
NPI 1477256238
Family Medicine in Troy, AL

Active since March 22, 2023PECOS Enrolled
801 S FRANKLIN DR, TROY, AL 36081(334) 566-9800(334) 566-3700 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Grace Jessica Thole Do NPPES

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

DR. GRACE JESSICA THOLE DO (NPI 1477256238) is an individual family medicine provider in Troy, Alabama, licensed in Alabama (DO.4536) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Alabama College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1477256238
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRACE JESSICA THOLECredential: DO
Location Address801 S FRANKLIN DRTroy, AL 36081-3838
Mailing Address801 S Franklin DrTroy, AL 36081-3838 · (334) 566-9800 · Fax (334) 566-3700
Phone(334) 566-9800
Fax(334) 566-3700
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2023
Enumeration DateMarch 22, 2023
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1477256238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · DO.4536
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.
801 S FRANKLIN DR, Troy, AL 36081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Jessica Thole Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880053008
PECOS Enrollment IDI20260601001996
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Thole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Health Associates LLC
Same address
Family Medicine
801 S FRANKLIN DR
Troy, AL 36081
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1780798108 (334) 566-9800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

MS. STACEY JONES
Nurse Practitioner
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
KATHERINE ELIZABETH BRANUM CRNP
Nurse Practitioner (Family)
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
DR. MARY MARGARET JOHNSON DO
Family Medicine
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
ERIC JUSTIN LAW MD
Family Medicine
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
DR. PAMELA TRANTHAM M.D.
Family Medicine
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
VICKIE IVEY CHILDS CRNP
Nurse Practitioner (Family)
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
SOUTHERN HEALTH ASSOCIATES LLC
Family Medicine
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800
DR. TODD B PEARLSTEIN M.D,
Family Medicine
801 S FRANKLIN DR
TROY, AL 36081
Pike County (334) 566-9800

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 Thole's NPI number?

The NPI number for Grace Thole is 1477256238. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Grace Thole located?

Grace Thole practices at 801 S Franklin Dr, Troy, AL 36081. The listed phone number is (334) 566-9800.

What is Grace Thole's specialty?

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

Is Grace Thole enrolled in Medicare?

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

Which organization bills Medicare for Grace Thole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Thole reassigns Medicare benefits to Southern Health Associates LLC (Troy, AL). The 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 Grace Thole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Thole accept?

Health plans from Blue Cross and Blue Shield of Alabama list Grace Thole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Thole was last updated on July 2, 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.