Individual provider Active NPI

Sheryl Lynn Gravelle-Camelo, MD

  • Pediatrics Physician
  • Franklin, NC
National Provider Identifier
1013030675
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9400065 Issued in NC
Practice address
427 Harrison Ave
Franklin, NC 28734-2580
Phone
(828) 524-7337
Fax
(828) 369-1340
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9400065 NC Primary

Addresses

Primary practice location

427 Harrison Ave
Franklin, NC 28734-2580

Mailing address

PO Box 647
Hope Mills, NC 28348-0647
Phone (910) 483-7337

Other identifiers 16

IdentifierTypeStateIssuer
1563736OtherNCCOVENTRY OF THE CAROLINAS
295815OtherNCMEDCOST, LLC
FH1101845OtherNCFIRST CAROLINA CARE
38614OtherNCBCBS OF NC
89133PKMedicaidNC
5429653OtherNCCIGNA/GREATWEST
1013030675OtherNCHEALTHNET FEDERAL SERVICES
1013030675OtherNCHEALTHSMART
1013030675MedicaidNC
1294636OtherNCUNITED HEALTHCARE
1563736OtherNCWELLPATH
4596541OtherNCCOVENTRY NATIONAL - COVENTRY PPO
1013030675OtherNCDOCTORS DIRECT
1013030675OtherNCHUMANA
12350463OtherNCPHCS/MULTIPLAN
5380016OtherNCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100320000238 NC Practitioner - Pediatric Medicine 4385779917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9400065NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1013030675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480647",
            "telephone_number": "910-483-7337",
            "fax_number": "910-483-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 HARRISON AVE",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342580",
            "telephone_number": "828-524-7337",
            "fax_number": "828-369-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVELLE-CAMELO",
        "first_name": "SHERYL",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9400065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY OF THE CAROLINAS",
            "identifier": "1563736",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST, LLC",
            "identifier": "295815",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH1101845",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "38614",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133PK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/GREATWEST",
            "identifier": "5429653",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET FEDERAL SERVICES",
            "identifier": "1013030675",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSMART",
            "identifier": "1013030675",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013030675",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1294636",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "1563736",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY NATIONAL - COVENTRY PPO",
            "identifier": "4596541",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS DIRECT",
            "identifier": "1013030675",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1013030675",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS/MULTIPLAN",
            "identifier": "12350463",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5380016",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.