GRACE MEDICAL CLINICS P.A.
NPI 1609978824
Internal Medicine in Concord, NC
About Grace Medical Clinics P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE MEDICAL CLINICS P.A. (NPI 1609978824), doing business as Grace Medical Clinics P.a, is a healthcare organization registered as an internal medicine in Concord, North Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 11, 2027 and lists Olufemi A Tokunboh, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Medical Clinics P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Grace Medical Clinics P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Compliance 34D0972445
Grace Medical Clinics, PA · Concord, NCFrequently 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 Medical Clinics P.A.'s NPI number?
The NPI number for Grace Medical Clinics P.A. is 1609978824. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider was formerly known as Grace Medical Clinics P.A.
Where is Grace Medical Clinics P.A. located?
Grace Medical Clinics P.A. is located at 2317 Concord Lake Rd, Concord, NC 28025. The listed phone number is (704) 933-2101.
What is Grace Medical Clinics P.A.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Grace Medical Clinics P.A. enrolled in Medicare?
Yes. Grace Medical Clinics P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Medical Clinics P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grace Medical Clinics P.A., in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grace Medical Clinics P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 34D0972445) is associated with this NPI, valid through December 11, 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 Medical Clinics P.A. was last updated on February 24, 2026. 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.
# Grace Medical Clinics P.a. · NPI 1609978824
Internal Medicine organization in Concord, North Carolina. Organization record, active in the CMS NPPES registry since September 1, 2006.
## Identity
- **NPI:** 1609978824 (Entity type: Organization)
- **Enumerated:** September 1, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Also known as:** Grace Medical Clinics P.A (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Olufemi Tokunboh, ADMINISTRATOR
## Practice location
- **Address:** 2317 CONCORD LAKE RD, Concord, NC 28025-2813
- **Phone:** (704) 933-2101 · **Fax:** (704) 933-1150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2026
- **Other identifiers:** Medicaid 89011GG (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609978824) · Data from the CMS NPPES public registry.