Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Nicole Dodd

Individual provider Physician Assistant · NPI 1760226484

Grace Nicole Dodd is a Physician Assistant in Shreveport, Louisiana. Qualified in 2024, 2 years ago. Practices with Wkmc Cardiovascular Consultants, a 35-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
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Practice location Address checks out

2727 Hearne Ave Ste 301
Shreveport, LA 71103-3918
Phone: (318) 631-6400
Fax: (318) 631-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 344521 (LA)

Record details

NPI number1760226484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wkmc Cardiovascular Consultants — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport