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GRACE HEALTH CLINIC
NPI 1295290963
Family Medicine in Slidell, LA

Active since February 06, 2019CLIA 19D2158646 · Waiver
1415 CORPORATE SQUARE DR STE A, SLIDELL, LA 70458(985) 259-4854(855) 807-4750 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2021, Feb 6, 2019 (2 updates tracked since 2019).

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

NPI1295290963
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRACE HEALTH CLINIC
Location Address1415 CORPORATE SQUARE DR STE ASlidell, LA 70458-3151
Mailing Address1415 Corporate Square Dr Ste ASlidell, LA 70458-3151 · (985) 259-4854 · Fax (855) 807-4750
Phone(985) 259-4854
Fax(855) 807-4750
Organization SubpartNo
Authorized OfficialBianca D JacksonClinic Administrator · (985) 259-4854
Enumeration DateFebruary 6, 2019
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1295290963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1415 CORPORATE SQUARE DR STE A, Slidell, LA 70458
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Secondary Practice Location 1

Location 11425 Fremaux AveSlidell, LA 70458-3150 · Phone (601) 287-4038 · Fax (855) 807-4750

Other Identifiers 2

Medicaid2427806LA
Medicaid05427361MS

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 Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, LA
Active · expires Oct 21, 2027
CLIA Number19D2158646
Laboratory TypePhysician Office
Certificate Effective DateOctober 22, 2025
Certificate Expiration DateOctober 21, 2027
Laboratory DirectorDarrin J. Jackson
Laboratory Phone(985) 259-4854
Laboratory LocationGrace Health Clinic, LLC1415 Corporate Square Drive, Suite A, Slidell, LA 70458
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE GRACI COURVILLE FNP-C
Nurse Practitioner (Family)
1415 CORPORATE SQUARE DR STE A
SLIDELL, LA 70458
St. Tammany Parish (985) 259-4854
DARRIN JACKSON M.D.
Family Medicine
1415 CORPORATE SQUARE DR STE A
SLIDELL, LA 70458
St. Tammany Parish (985) 259-4854
DIFF3R3NT MENTALITY, LLC
Social Worker (Clinical)
1415 CORPORATE SQUARE DR STE A
SLIDELL, LA 70458
St. Tammany Parish (601) 300-3704

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.