GRACE MEDICAL OF AIKEN LLC
NPI 1619744398
Family Medicine in Aiken, SC

Active since December 04, 2023CLIA 42D2298480 · Waiver
415 BARNWELL AVE NW, AIKEN, SC 29801(803) 226-0274(803) 226-0436 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Medical Of Aiken Llc NPPES

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

GRACE MEDICAL OF AIKEN LLC (NPI 1619744398) is a healthcare organization registered as a family medicine in Aiken, South Carolina and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Anna Allman, Owner, as its authorized official.

NPPES Registry Identity

NPI1619744398
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE MEDICAL OF AIKEN LLC
Location Address415 BARNWELL AVE NWAiken, SC 29801-3937
Mailing AddressPo Box 537Aiken, SC 29802-0537 · (803) 226-0274 · Fax (803) 226-0436
Fax(803) 226-0436
Organization SubpartNo
Authorized OfficialAnna AllmanOwner · (803) 270-1101
Enumeration DateDecember 4, 2023
Last NPPES UpdateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
✔ NPI 1619744398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
415 BARNWELL AVE NW, Aiken, SC 29801

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

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 Of Aiken Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grace Medical Of Aiken LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1427328681
415 BARNWELL AVE NW
Aiken, SC 29801
(803) 644-4403
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619742160
254 FURYS FERRY RD
Augusta, GA 30907
(706) 986-0999
✔ PECOS✔ Accepts Medicare20 mi

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 Waiver 42D2298480

Grace Medical Of Aiken · Aiken, SC
Active · expires Feb 1, 2028
CLIA Number42D2298480
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorAnna P. Allman
Laboratory Phone(803) 226-0274
Laboratory LocationGrace Medical Of Aiken415 Barnwell Ave, NW, Aiken, SC 29801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical Of Aiken LLC's NPI number?

The NPI number for Grace Medical Of Aiken LLC is 1619744398. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Grace Medical Of Aiken LLC located?

Grace Medical Of Aiken LLC is located at 415 Barnwell Ave NW, Aiken, SC 29801. The listed phone number is (803) 226-0274.

What is Grace Medical Of Aiken LLC's specialty?

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

Is Grace Medical Of Aiken LLC enrolled in Medicare?

Yes. Grace Medical Of Aiken LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Medical Of Aiken LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Grace Medical Of Aiken 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Medical Of Aiken LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2298480) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Medical Of Aiken LLC accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Grace Medical Of Aiken LLC 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 Medical Of Aiken LLC was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.