GRAVES EMERGENCY GROUP LLC (NPI# 1407824063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407824063 |
| Entity Type | Organization |
| Organization Name | GRAVES EMERGENCY GROUP LLC |
| Practice Address |
1099 Medical Center Cir Mayfield KY 42066-1159 |
| Mailing Address |
200 Corporate Blvd Suite 201 Lafayette LA 70508-3870 |
| Practice Telephone | 2702514100 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WILLIAM SCHUMACHER (CEO) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 6593929000 | 05 |
| Street Address |
1099 MEDICAL CENTER CIR |
| City | MAYFIELD |
| State | KY |
| Zip Code | 42066-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124569553 | Amanda Massey | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2017-03-18 |
| 1417327008 | Mary Graham | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2015-09-25 |
| 1659777514 | Pinelake Regional Hospital, LLC | Psychiatric Unit | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2014-11-05 |
| 1255735346 | Tas of Kentucky LLC | Nurse Anesthetist, Certified Registered | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2014-10-17 |
| 1558603589 | Sandy Kay Riley | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-03-15 |
| 1023357928 | Sarah Darnell | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-02-12 |
| 1104115583 | Bryan Thomas Green | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2011-04-06 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1447413174 | Nancy R. Mullins | Physical Therapist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-07-02 |
| 1538334610 | Graves Physician Services LLC | Hospitalist | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2008-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031959 | Snh Derby Tenant LLC | Assisted Living Facility | 1517 West Broadway Street, Mayfield, KY 42066 | 2019-09-10 |
| 1033674254 | Mind, Body, Soul, LLC | Clinic/Center | 1325 Us 45 S, Suite C, Mayfield, KY 42066 | 2019-02-01 |
| 1699288936 | Kimberly Kaye Gooch | Developmental Therapist | 3907 State Route 303, Mayfield, KY 42066 | 2017-11-08 |
| 1538604657 | Courtney L Coleman | Nurse Practitioner | 1029 Medical Center Cir Ste 200, Mayfield, KY 42066 | 2016-12-28 |
| 1659814721 | Bertha Workman | Voluntary or Charitable | 331 South 7th Street, Mayfield, KY 42066 | 2016-11-22 |
| 1699174052 | Laura Dassing | Counselor | 1325 Hwy 45 N, Mayfield, KY 42066 | 2014-08-21 |
| 1275947905 | Wkda Services LLC | Community/Behavioral Health | 1325 U S Hwy 45n, Mayfield, KY 42066 | 2014-06-20 |
| 1538594247 | Young Healthcare LLC | Chiropractor | 1011 Paris Road #341, Mayfield, KY 42066 | 2013-09-12 |
| 1811335649 | Donald Bennett Dowdy | Dentist | 236 N. 6th St., Mayfield, KY 42066 | 2013-06-14 |
| 1578822623 | Wanda Bingham Marshall | Counselor | 325 South 8th Street, West Kentucky Counseling Center, Mayfield, KY 42066 | 2012-05-10 |
| Find all providers in zip 42066 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203872 | Tanya S Goins-harmon | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2005-05-24 |
| 1538615570 | Heather D Lyell | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2016-08-30 |
| 1710332523 | Bethanie M Apperson | Nurse Practitioner | 1029 Medical Center Cir, Suite 200 & Suite 401b, Mayfield, KY 42066-1189 | 2016-04-29 |
| 1053779587 | Team Health Usa, LLC | Nurse Practitioner | 1011 Paris Rd, Suite 341, Mayfield, KY 42066-3306 | 2016-01-28 |
| 1417327008 | Mary Graham | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2015-09-25 |
| 1144645441 | Sarah Wilson | Nurse Practitioner | 1029 Medical Center Cir, Suite 306, Mayfield, KY 42066-1189 | 2014-02-23 |
| 1023357928 | Sarah Darnell | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2013-02-12 |
| 1013231786 | Jennifer Kaye Wilkerson | Nurse Practitioner | 318 S 7th St, Mayfield, KY 42066-2337 | 2010-03-24 |
| 1457586638 | Carla Ann Davis | Nurse Practitioner | 1099 Medical Center Cir, Mayfield, KY 42066-1159 | 2009-05-18 |
| 1922262179 | Jackson Purchase Pulmonary Medicine Pllc | Nurse Practitioner | 1111 Medical Center Cir, Mayfield, KY 42066-1194 | 2008-07-16 |
| Find all providers in MAYFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.