GRACE GYNECOLOGY & WELLNESS CORP APMC
NPI 1154083376
Obstetrics & Gynecology in Lafayette, LA

Q: What is Grace Gynecology & Wellness Corp Apmc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since October 06, 2021CLIA 19D2240432 · Microscopy

200 BEAULLIEU DR STE 3B, LAFAYETTE, LA 70508(337) 522-7282(337) 393-7057 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2022, Jan 4, 2022, Oct 6, 2021 (3 updates tracked since 2021).

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About Grace Gynecology & Wellness Corp Apmc NPPES

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

GRACE GYNECOLOGY & WELLNESS CORP APMC (NPI 1154083376) is a healthcare organization registered as an obstetrics & gynecology in Lafayette, Louisiana and active in the NPI registry since October 2021. The organization holds a CLIA Microscopy certificate valid through October 18, 2027 and lists Mika Marlaine King, Physician/president Of Corp, as its authorized official.

NPPES Registry Identity

NPI1154083376

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameGRACE GYNECOLOGY & WELLNESS CORP APMC

Location Address200 BEAULLIEU DR STE 3BLafayette, LA 70508-7230

Mailing Address200 Beaullieu Dr Ste 3bLafayette, LA 70508-7230 · (337) 522-7282 · Fax (337) 393-7057

Phone(337) 522-7282

Fax(337) 393-7057

Organization SubpartNo

Authorized OfficialMika Marlaine KingPhysician/president Of Corp · (337) 654-4729

Enumeration DateOctober 6, 2021

Last NPPES UpdateJanuary 12, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2022

✔ NPI 1154083376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

200 BEAULLIEU DR STE 3B, Lafayette, LA 70508

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Gynecology & Wellness Corp Apmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateLouisianaEnrollment IDO20220110001775Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Gynecology & Wellness Corp Apmc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mika King, MD

Obstetrics/Gynecology

NPI 1053311563

4640 AMBASSADOR CAFFERY PKWY
Lafayette, LA 70508

(337) 984-1050

✔ PECOS✔ Accepts Medicare0.8 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 for Provider-Performed Microscopy Procedures (PPMP) 19D2240432

Grace Gynecology & Wellness, Apmc · Lafayette, LA

Active · expires Oct 18, 2027

CLIA Number19D2240432

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2025

Certificate Expiration DateOctober 18, 2027

Laboratory DirectorMika M. King

Laboratory Phone(337) 522-7282

Laboratory LocationGrace Gynecology & Wellness, Apmc101 Rue Fontaine Bldg 3B, Lafayette, LA 70508

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Gynecology & Wellness Corp Apmc's NPI number?

The NPI number for Grace Gynecology & Wellness Corp Apmc is 1154083376. It was assigned to this organization in the NPPES registry on October 6, 2021.

Where is Grace Gynecology & Wellness Corp Apmc located?

Grace Gynecology & Wellness Corp Apmc is located at 200 Beaullieu Dr Ste 3B, Lafayette, LA 70508. The listed phone number is (337) 522-7282.

What is Grace Gynecology & Wellness Corp Apmc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Grace Gynecology & Wellness Corp Apmc enrolled in Medicare?

Yes. Grace Gynecology & Wellness Corp Apmc is registered in the Medicare PECOS enrollment system.

When is Grace Gynecology & Wellness Corp Apmc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Grace Gynecology & Wellness Corp Apmc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Grace Gynecology & Wellness Corp Apmc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grace Gynecology & Wellness Corp Apmc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2240432) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Gynecology & Wellness Corp Apmc accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Grace Gynecology & Wellness Corp Apmc 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 Gynecology & Wellness Corp Apmc was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.