Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHERN GRACE HEALTHCARE INC.
NPI 1679243653
Nurse Practitioner - Family in Ashdown, AR

Q: What is Southern Grace Healthcare Inc.'s NPI number?

The NPI number for Southern Grace Healthcare Inc. is 1679243653. It was assigned to this organization in the NPPES registry on September 20, 2021.

Q: What is Southern Grace Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 20, 2021CLIA 04D2240383 · Waiver

820 S LOCUST ST, ASHDOWN, AR 71822(870) 898-4576(870) 455-4484 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Nov 18, 2024, Jun 4, 2024 and 2 more (5 updates tracked since 2021).

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About Southern Grace Healthcare Inc. NPPES

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

SOUTHERN GRACE HEALTHCARE INC. (NPI 1679243653) is a healthcare organization registered as a family in Ashdown, Arkansas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Alexandria Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1679243653

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSOUTHERN GRACE HEALTHCARE INC.

Location Address820 S LOCUST STAshdown, AR 71822-4347

Mailing Address820 S Locust StAshdown, AR 71822-4347 · (870) 898-4576 · Fax (870) 455-4484

Phone(870) 898-4576

Fax(870) 455-4484

Organization SubpartNo

Authorized OfficialAlexandria DavisOwner · (870) 898-4576

Enumeration DateSeptember 20, 2021

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1679243653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

820 S LOCUST ST, Ashdown, AR 71822

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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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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 04D2240383

Southern Grace Healthcare Inc · Ashdown, AR

Active · expires Oct 18, 2027

CLIA Number04D2240383

Laboratory TypePractitioner Other

Certificate Effective DateOctober 19, 2025

Certificate Expiration DateOctober 18, 2027

Laboratory DirectorAlexandria Davis

Laboratory Phone(870) 898-4576

Laboratory LocationSouthern Grace Healthcare Inc820 S Locust St, Ashdown, AR 71822

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

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

ALEXANDRIA ASHLEY DAVIS FNP-C

Nurse Practitioner (Family)

820 S LOCUST ST
ASHDOWN, AR 71822

Little River County (870) 898-4576

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 Southern Grace Healthcare Inc.'s NPI number?

The NPI number for Southern Grace Healthcare Inc. is 1679243653. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Southern Grace Healthcare Inc. located?

Southern Grace Healthcare Inc. is located at 820 S Locust St, Ashdown, AR 71822. The listed phone number is (870) 898-4576.

What is Southern Grace Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Southern Grace Healthcare Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2240383) 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 Southern Grace Healthcare Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Southern Grace Healthcare Inc. 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 Southern Grace Healthcare Inc. was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.