Healing Grace Internal Medicine & Pediatrics, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

023335 Issued in LA

Legal business name

HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC

Practice address

6821 Pines Rd
Suite 200
Shreveport, LA 71129-2547

Phone

(318) 671-9309

Fax

(318) 671-9311

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Tonya Clayton, M.D.

Title

President

Phone

(318) 671-9309

Specialties & licenses 3

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Clyde Daniels, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1700997160
  NPD (past)
• Hazel Cecily Richards, LCSW

  • Social Worker
  • Shreveport, LA
  • NPI 1164693776
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1780802504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 PINES RD",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292547",
            "telephone_number": "318-671-9309",
            "fax_number": "318-671-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 PINES RD",
            "address_2": "SUITE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711292547",
            "telephone_number": "318-671-9309",
            "fax_number": "318-671-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GRACE INTERNAL MEDICINE & PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-671-9309",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "023335",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023335",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "023335",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1494046",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Nicole Head, PT, DPT
• Travis Headley, MD
• Katelyn A Headrick, PT, DPT
• Linda Carol Headrick
• Healing Gardens Wellness Center
• Healing Hands Family Medicine, LLC
• Healing Minds LLC
• Healing Shades of Blue
• Healing Touch Personal Care
• Health Heroes, Inc.

• Internal Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.