Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Glass

Individual provider Physician Assistant · NPI 1073102760

Grace Glass is a Physician Assistant in Lillington, North Carolina. Qualified in 2021, 5 years ago. Practices with American Family Care Fuquay PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
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Practice location Address checks out

4350 US 421 S
Lillington, NC 27546-6760
Phone: (910) 893-1210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-11587 (NC)

Record details

NPI number1073102760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2021
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address2231 Marquee Ln, Fuquay Varina, NC 27526-3208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice American Family Care Fuquay Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lillington