Graceway Health Care LLC
NPI 1417779083 · Internal Medicine Physician · Clinton, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Graceway Health Care LLC is a Internal Medicine Physician organization in Clinton, MD (NPI 1417779083).
Provider details
- NPI number
- 1417779083
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krystle Brown, Practice Administrator(410) 800-6251
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Graceway Health Care, LLC Clinton
- Other name
- Graceway Health Care, LLC Clinton
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Frequently asked questions
- What is Graceway Health Care LLC's NPI number?
- Graceway Health Care LLC's National Provider Identifier (NPI) is 1417779083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Graceway Health Care LLC?
- Graceway Health Care LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Graceway Health Care LLC located?
- Graceway Health Care LLC's practice location on file with NPPES is 9106 Pine View Ln, Clinton, MD 20735-3229.
- What is Graceway Health Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Graceway Health Care LLC is (667) 300-8222.
- Does Graceway Health Care LLC accept Medicare?
- Graceway Health Care LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Graceway Health Care LLC?
- The authorized official listed on Graceway Health Care LLC's NPPES record is Krystle Brown, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Graceway Health Care LLC's NPI active?
- Yes — Graceway Health Care LLC's NPI (1417779083) is active in the NPPES registry as of the last update on 2025-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.