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HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC
NPI 1780802504
Internal Medicine in Shreveport, LA

Active since April 24, 2007CLIA 19D1065571 · Waiver
6821 PINES RD, SUITE 200, SHREVEPORT, LA 71129(318) 671-9309(318) 671-9311 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Healing Grace Internal Medicine & Pediatrics, Llc NPPES

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

HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC (NPI 1780802504) is a healthcare organization registered as an internal medicine in Shreveport, Louisiana and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Tonya Clayton, President, as its authorized official.

NPPES Registry Identity

NPI1780802504
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC
Location Address6821 PINES RD, SUITE 200Shreveport, LA 71129-2547
Mailing Address6821 Pines Rd, Suite 200Shreveport, LA 71129-2547 · (318) 671-9309 · Fax (318) 671-9311
Phone(318) 671-9309
Fax(318) 671-9311
Organization SubpartNo
Authorized OfficialTonya ClaytonPresident · (318) 671-9309
Enumeration DateApril 24, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1780802504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 023335
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 023335 (LA)
Also ListedPediatricsTaxonomy 208000000X · License 023335 (LA)

Other Identifiers 1

Medicaid1494046LA

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 MULTIPLE 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 ›

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 19D1065571

Healing Grace Internal Medicine & Pediatrics LLC · Shreveport, LA
Active · expires Mar 5, 2027
CLIA Number19D1065571
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorTonya Clayton, MD
Laboratory Phone(318) 671-9311
Laboratory LocationHealing Grace Internal Medicine & Pediatrics LLC6821 Pines Road Suite 200, Shreveport, LA 71129
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

GAIL M AMISON MD
Family Medicine
6821 PINES RD, SUITE 100
SHREVEPORT, LA 71129
Caddo Parish (318) 687-5500
NANCY GERMANY MD AND WILLIS-MEDICAL CENTER
Family Medicine
6821 PINES RD, SUITE 100
SHREVEPORT, LA 71129
Caddo Parish (318) 687-5500
JAMES STAFFORD MAY MD
Family Medicine
6821 PINES RD, SUITE 100
SHREVEPORT, LA 71129
Caddo Parish (318) 687-5500
HEALING HANDS FAMILY MEDICINE, LLC
Family Medicine
6821 PINES RD, SUITE 400
SHREVEPORT, LA 71129
Caddo Parish (318) 686-7109

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 Healing Grace Internal Medicine & Pediatrics, LLC's NPI number?

The NPI number for Healing Grace Internal Medicine & Pediatrics, LLC is 1780802504. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Healing Grace Internal Medicine & Pediatrics, LLC located?

Healing Grace Internal Medicine & Pediatrics, LLC is located at 6821 Pines Rd Suite 200, Shreveport, LA 71129. The listed phone number is (318) 671-9309.

What is Healing Grace Internal Medicine & Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Healing Grace Internal Medicine & Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D1065571) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Healing Grace Internal Medicine & Pediatrics, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Healing Grace Internal Medicine & Pediatrics, LLC 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 Healing Grace Internal Medicine & Pediatrics, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.