Graves Crawley Stubblefield Jr., M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

05680 Issued in MS

Practice address

406 Briarwood Dr
Jackson, MS 39206-3039

Phone

(601) 991-1933

Fax

(601) 978-3844

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003026345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 EASTOVER DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116729",
            "telephone_number": "601-982-7914",
            "fax_number": "601-362-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063039",
            "telephone_number": "601-991-1933",
            "fax_number": "601-978-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBLEFIELD",
        "first_name": "GRAVES",
        "middle_name": "CRAWLEY",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "05680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Kay Strong, FNP-C, PHD
• Daniel Patrick Stuart, ACNP-BC
• Lauren Ashley Stuart, PTA
• Rachel Lynn Stuart, LPC
• Seth B Stuart, NP
• Carla Stubbs
• Javelyn D Stubbs, DMD
• Jodi M Stubbs, NP
• Laura Stubbs, D.C.
• Lindsey Tatum Stubbs, AGACNP

• Hematology & Oncology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Hematology & Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.