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

Grace Ilex Thompson-Byrum, PA-C

Individual provider Physician Assistant · NPI 1164151288

Grace Ilex Thompson-Byrum, PA-C is a Physician Assistant in Charleston, South Carolina. Qualified in 2022, 4 years ago. Practices with Monarch, a 93-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and South Carolina.

Years since qualifying
4
Licensed in
NC, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1483 Tobias Gadson Blvd Ste 201
Charleston, SC 29407-4796
Phone: (843) 745-5153
Fax: (305) 891-4228
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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 5019 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-12338 (NC)

Record details

NPI number1164151288
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 6, 2022
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Monarch — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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