MR. MARK ALLEN GRAVES (NPI# 1881977684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881977684 |
| Entity Type | Individual |
| Full Name | MR. MARK ALLEN GRAVES |
| Credential | FNP-BC |
| Practice Address |
7723 Clearview Church Ln Lyles TN 37098-1674 |
| Practice Telephone | 9316705520 |
| Practice Fax Number | 9316705312 |
| Mailing Telephone | 9316705520 |
| Mailing Fax Number | 9316705312 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16146 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831226489 | Mark C Graves | Physical Therapist | 870 N Ellington Pkwy, Lewisburg, TN 37091-2271 | 2007-02-28 |
| 1407898398 | Mark Graves | Social Worker | 450 Morris Ave, Suite 117, Muskegon, MI 49440-1104 | 2006-06-12 |
| 1174560577 | Mark S Graves | Ophthalmology | 1235 Ne Loop 286, Paris, TX 75460-2226 | 2006-06-02 |
| 1164974184 | Mark Graves II | Dentist | 1175 S Main St, Madisonville, KY 42431-3337 | 2016-10-25 |
| 1285702308 | Mark W Graves | Internal Medicine | 751 N Rutledge St Ste 1100, Springfield, IL 62702-4968 | 2006-11-30 |
| 1679647291 | Mark V Graves | Optometrist | 6233 Cermak Rd, Berwyn, IL 60402-2317 | 2006-11-17 |
| Street Address |
7723 CLEARVIEW CHURCH LN |
| City | LYLES |
| State | TN |
| Zip Code | 37098-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717645 | Martha Jane Shepard | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-19 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1184968455 | Kjk LLC | Pharmacy | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-11-26 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1265707533 | Sherry Lynn Tidwell | Registered Nurse | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-03-20 |
| 1851523732 | Brent Lee | Dentist | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2009-08-11 |
| 1407087570 | Leah Gordon Lee | Dentist | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2009-08-06 |
| 1659567527 | Perry County Medical Center, Inc. | Clinic/Center | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2007-09-24 |
| 1205828662 | Community Pharmacy Care, Inc. | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224827 | Sole Supports, Inc. | Durable Medical Equipment & Medical Supplies | 7674 Highway 7, Lyles, TN 37098-1571 | 2014-03-29 |
| 1710535703 | Perry County Medical Center, Inc. | Dentist | 7723 Clearview Church Ln Ste 200, Lyles, TN 37098-1674 | 2019-09-03 |
| 1225049570 | Hickman Community Health Careservices | Clinic/Center | 5047 Highway 100, Lyles, TN 37098-1878 | 2006-08-11 |
| 1598755407 | Darryl A Bivens | Dentist | 5103 Highway 100, Lyles, TN 37098-1879 | 2005-10-24 |
| 1871747832 | Bivens Dental Group PC | Clinic/Center | 5103 Highway 100, Lyles, TN 37098-1879 | 2008-11-04 |
| 1932124625 | Dialysis Clinic Inc. | Clinic/Center | 7900 Cedar Crest Camp Rd, Lyles, TN 37098-1978 | 2006-07-13 |
| 1437303542 | Excel Physical Therapy, LLC | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2008-11-17 |
| 1326118415 | Stephen M Mcclellan | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2006-11-08 |
| 1912015108 | Dickson Medical Associates, PC | Nurse Practitioner | 5194 Highway 100, Suite 106, Lyles, TN 37098-2821 | 2006-08-28 |
| 1578934790 | Zilla F Henricksen | Nurse Practitioner | 5194 Highway 100 Ste 106, Lyles, TN 37098-2822 | 2015-10-14 |
| Find all providers in zip 37098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934790 | Zilla F Henricksen | Nurse Practitioner | 5194 Highway 100 Ste 106, Lyles, TN 37098-2822 | 2015-10-14 |
| 1174526115 | Kay P Murphy | Nurse Practitioner | 5194 Highway 100, Ste 107, Lyles, TN 37098-2822 | 2005-05-23 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1912015108 | Dickson Medical Associates, PC | Nurse Practitioner | 5194 Highway 100, Suite 106, Lyles, TN 37098-2821 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.