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GRACE INTERNAL MEDICINE LLC
NPI 1962120071
Internal Medicine in Simpsonville, SC

Active since August 16, 2022CLIA 42D2209386 · Waiver
114B HOSPITAL DR, SIMPSONVILLE, SC 29681(803) 757-5177(803) 757-5178 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2024, Sep 5, 2024, Aug 16, 2022 (3 updates tracked since 2022).

About Grace Internal Medicine Llc NPPES

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

GRACE INTERNAL MEDICINE LLC (NPI 1962120071) is a healthcare organization registered as an internal medicine in Simpsonville, South Carolina and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through January 12, 2027 and lists Leon Buffaloe, President, as its authorized official.

NPPES Registry Identity

NPI1962120071
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACE INTERNAL MEDICINE LLC
Location Address114B HOSPITAL DRSimpsonville, SC 29681-3226
Mailing Address114b Hospital DrSimpsonville, SC 29681-3226 · (864) 757-5177 · Fax (864) 757-5178
Phone(803) 757-5177
Fax(803) 757-5178
Organization SubpartNo
Authorized OfficialLeon BuffaloePresident · (864) 360-8802
Enumeration DateAugust 16, 2022
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1962120071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
114B HOSPITAL DR, Simpsonville, SC 29681
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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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Grace Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Leon Buffaloe, M.D.
Internal Medicine
NPI 1366603391
114B HOSPITAL DR
Simpsonville, SC 29681
(864) 757-5177
✔ PECOS✔ Accepts MedicareSame address
Krista Furman, FNP
Nurse Practitioner
NPI 1316643893
114B HOSPITAL DR
Simpsonville, SC 29681
(864) 757-5177
✔ PECOSSame address
Allison Hutcheson, NP
Nurse Practitioner
NPI 1467070862
114B HOSPITAL DR
Simpsonville, SC 29681
(864) 757-5177
✔ PECOSSame address
Allison Patrick, FNP
Nurse Practitioner
NPI 1164263299
114 HOSPITAL DR
Simpsonville, SC 29681
(864) 757-5177
✔ PECOS0.1 mi
Victoria Talley, MD
Family Practice
NPI 1447833280
114B HOSPITAL DR
Simpsonville, SC 29681
(864) 535-6855
✔ PECOS✔ Accepts Medicare0.1 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 42D2209386

Grace Internal Medicine · Simpsonville, SC
Active · expires Jan 12, 2027
CLIA Number42D2209386
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorDr. Leon Buffaloe
Laboratory Phone(864) 757-5177
Laboratory LocationGrace Internal Medicine114B Hospital Drive, Simpsonville, SC 29681
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 Internal Medicine LLC's NPI number?

The NPI number for Grace Internal Medicine LLC is 1962120071. It was assigned to this organization in the NPPES registry on August 16, 2022.

Where is Grace Internal Medicine LLC located?

Grace Internal Medicine LLC is located at 114B Hospital Dr, Simpsonville, SC 29681. The listed phone number is (803) 757-5177.

What is Grace Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grace Internal Medicine LLC enrolled in Medicare?

Yes. Grace Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Grace Internal Medicine 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. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2209386) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Internal Medicine LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Grace Internal Medicine 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 Internal Medicine LLC was last updated on September 24, 2024. 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.