GRACE CLINIC OF LUBBOCK
NPI 1912953357
Family Medicine in Lubbock, TX
About Grace Clinic Of Lubbock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE CLINIC OF LUBBOCK (NPI 1912953357), doing business as Grace Clinic, is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Other Names 1
Secondary Practice Locations 4
Other Identifiers 4
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 Clinic Of Lubbock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
68Medicare enrollment records show 68 clinicians reassign Medicare billing to Grace Clinic Of Lubbock, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 68Source: 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 2
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 45D2106771
Grace Clinic Of Lubbock · Lubbock, TXCertificate of Waiver 45D1101487
Grace Clinic Of Lubbock · Lubbock, TXFrequently 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 Clinic Of Lubbock's NPI number?
The NPI number for Grace Clinic Of Lubbock is 1912953357. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Grace Clinic.
Where is Grace Clinic Of Lubbock located?
Grace Clinic Of Lubbock is located at 4515 Marsha Sharp Fwy, Lubbock, TX 79407. The listed phone number is (806) 744-7223.
What is Grace Clinic Of Lubbock's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grace Clinic Of Lubbock enrolled in Medicare?
Yes. Grace Clinic Of Lubbock is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Clinic Of Lubbock?
According to the CMS Revalidation Reassignment List (October 2026 release), 68 clinicians in 15 Medicare specialties reassign their Medicare billing to Grace Clinic Of Lubbock. 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 (13), Certified Registered Nurse Anesthetist (CRNA) (10) and Diagnostic Radiology (9). Of these, 29 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grace Clinic Of Lubbock hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Grace Clinic Of Lubbock was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 Clinic Of Lubbock · NPI 1912953357
Family Medicine organization in Lubbock, Texas. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1912953357 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Grace Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Donald Anderson, ASSISTANT SECRETARY OF ENROLLMENTS
## Practice location
- **Address:** 4515 MARSHA SHARP FWY, Lubbock, TX 79407-2520
- **Phone:** (806) 744-7223 · **Fax:** (806) 740-3325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 68 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Certified Registered Nurse Anesthetist (CRNA) (10), Diagnostic Radiology (9); 29 practice at this address and 54 within 10 miles; [full list](https://npiprofile.com/npi/1912953357/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2025
- **Other identifiers:** Other 0608DC (TX); Other 0031NR (TX); Medicaid 184774101 (TX); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912953357) · Data from the CMS NPPES public registry.