GRACE HEALTH CLINIC
NPI 1295290963
Family Medicine in Slidell, LA
About Grace Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE HEALTH CLINIC (NPI 1295290963) is a healthcare organization registered as a family medicine in Slidell, Louisiana and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through October 21, 2027, maintains a secondary practice location in Slidell, and lists Bianca D Jackson, Clinic Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Grace Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 of Waiver 19D2158646
Grace Health Clinic, LLC · Slidell, LAFrequently 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 Health Clinic's NPI number?
The NPI number for Grace Health Clinic is 1295290963. It was assigned to this organization in the NPPES registry on February 6, 2019.
Where is Grace Health Clinic located?
Grace Health Clinic is located at 1415 Corporate Square Dr Ste A, Slidell, LA 70458. The listed phone number is (985) 259-4854.
What is Grace Health Clinic's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Grace Health Clinic enrolled in Medicare?
Yes. Grace Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grace Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Grace Health Clinic, in Clinical Social Worker, Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Grace Health Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2158646) is associated with this NPI, valid through October 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Grace Health Clinic accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Grace Health Clinic 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 Health Clinic was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Grace Health Clinic · NPI 1295290963
Family Medicine organization in Slidell, Louisiana. Organization record, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1295290963 (Entity type: Organization)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bianca Jackson, CLINIC ADMINISTRATOR
## Practice location
- **Address:** 1415 CORPORATE SQUARE DR STE A, Slidell, LA 70458-3151
- **Phone:** (985) 259-4854 · **Fax:** (855) 807-4750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Clinical Social Worker (1), Family Practice (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2021
- **Other identifiers:** Medicaid 2427806 (LA); Medicaid 05427361 (MS)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1295290963) · Data from the CMS NPPES public registry.