Active NPI
Amy Nicole Grace, MD
- Obstetrics & Gynecology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD200156
- Practice address
- 4720 S I-10 Service Rd
Ste 502
Metairie, LA 70001 - Phone
- (504) 885-6060
- Fax
- (504) 887-2114
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD200156 | LA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 25113 | AL |
Addresses
Primary practice location
4720 S I-10 Service Rd
Ste 502
Metairie, LA 70001
Mailing address
4720 S I-10 Service Rd
Ste 502
Metairie, LA 70001
Phone (504) 885-6060
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00459229 | Other | LA | RAILROAD MEDICARE |
| 200156 | Other | LA | STATE |
| 32593 | Other | LA | CDS |
| 1626775 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 S I 10 Service Rd S
Tulane University Hospital and Clinic Lakesid
Metairie, LA 70001-0001
Phone (504) 780-8282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25113 | AL | MD | Obstetrics & Gynecology Physician |
| MD200156 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| University Healthcare Systems, LC | Past | Accepting new patients | |
| University Healthcare System, L.C. | Past | Accepting new patients | |
| University Healthcare System, L.C. | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Ste 302
Covington, LA 70433
Phone (985) 867-4285
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
4720 S I 10 Svc Rd W
Ste 502
Metairie, LA 70001
Phone (504) 885-6060
4720 S I 10 Svc Rd W
Ste 205
Metairie, LA 70001
Phone (504) 779-8282
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
Interoperability endpoints
- amy.grace@hca9.eclinicaldirectplus.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Community/Retail Pharmacy
- Metairie, LA
- NPI 1619446580
-
- Internal Medicine Physician
- Covington, LA
- NPI 1386734762
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1154412625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4720 S I-10 SERVICE RD",
"address_2": "STE 502",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70001",
"telephone_number": "504-885-6060",
"fax_number": "504-887-2114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4720 S I-10 SERVICE RD",
"address_2": "STE 502",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70001",
"telephone_number": "504-885-6060",
"fax_number": "504-887-2114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "AMY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD200156",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "25113",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00459229",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "200156",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "32593",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1626775",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.