SOUTHERN GRACE HEALTHCARE INC.
NPI 1679243653
Nurse Practitioner - Family in Ashdown, AR
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 lists Alexandria Davis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Grace Healthcare Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Grace Healthcare Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Southern Grace Healthcare Inc. enrolled in Medicare?
Yes. Southern Grace Healthcare Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Grace Healthcare Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Southern Grace Healthcare Inc.. 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.
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 4 months 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.
# Southern Grace Healthcare Inc. · NPI 1679243653
Family organization in Ashdown, Arkansas. Organization record, active in the CMS NPPES registry since September 20, 2021.
## Identity
- **NPI:** 1679243653 (Entity type: Organization)
- **Enumerated:** September 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Alexandria Davis, OWNER
## Practice location
- **Address:** 820 S LOCUST ST, Ashdown, AR 71822-4347
- **Phone:** (870) 898-4576 · **Fax:** (870) 455-4484
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1679243653) · Data from the CMS NPPES public registry.