Grace Ilex Thompson-byrum, PA-C - Physician Assistant in Gastonia, NC

Grace Ilex Thompson-byrum, PA-C is a Physician Assistant based in Gastonia, North Carolina. Grace Ilex Thompson-byrum is licensed to practice in North Carolina (license number 0010-12338) and her current practice location is 1530 Union Rd Ste A, Gastonia, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 867-6188.

NPI number for Grace Ilex Thompson-byrum is 1164151288 and her current mailing address is 1530 Union Rd Ste A, Gastonia, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164151288.

Contact Information

Grace Ilex Thompson-byrum, PA-C
1530 Union Rd Ste A,
Gastonia, NC 28054-2201
(704) 867-6188
(704) 866-4437



Provider's Profile

Full NameGrace Ilex Thompson-byrum
GenderFemale
SpecialityPhysician Assistant
Location1530 Union Rd Ste A, Gastonia, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164151288
  • Provider Enumeration Date: 06/06/2022
  • Last Update Date: 09/29/2022

Medical Identifiers

Medical identifiers for Grace Ilex Thompson-byrum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164151288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-12338 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Ilex Thompson-byrum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Ilex Thompson-byrum, PA-C
1530 Union Rd Ste A,
Gastonia, NC 28054-2201

Ph: (704) 867-6188
Grace Ilex Thompson-byrum, PA-C
1530 Union Rd Ste A,
Gastonia, NC 28054-2201

Ph: (704) 867-6188

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Physician Assistant Nurses in Gastonia, NC

Ms. Taneisha Latoya Barnett, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2664 Court Dr, Suite A, Gastonia, NC 28054
Phone: 704-861-9030    Fax: 704-833-1234
Lisa Camille Pruitt Richards, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2544 Court Dr Ste A, Gastonia, NC 28054
Phone: 704-671-6400    Fax: 704-671-6449
Mr. Timothy Allen Boyd, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054
Phone: 704-867-2333    
Mr. Michael Harrison Long, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054
Phone: 704-323-2000    
Tatjana Misunina, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Court Dr Ste 200, Gastonia, NC 28054
Phone: 410-245-5367    
Laura Elizabeth Kiely, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2211 E Franklin Blvd, Ste 100, Gastonia, NC 28054
Phone: 704-468-0140    
Carlos Saul Anzola, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2555 Court Dr Ste 200, Gastonia, NC 28054
Phone: 704-867-2141    Fax: 704-867-2308

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