Individual provider Active NPI

Amy Nicole Grace, MD

  • Obstetrics & Gynecology Physician
  • Metairie, LA
National Provider Identifier
1154412625
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD200156 Issued in LA
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

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00459229OtherLARAILROAD MEDICARE
200156OtherLASTATE
32593OtherLACDS
1626775MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000261 LA Practitioner - Obstetrics/Gynecology 5597794289 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
25113ALMDObstetrics & Gynecology Physician
MD200156LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.