NPIMap

Individual provider Active NPI

Christy Graves, M.D.

  • Internal Medicine Physician
  • Slidell, LA
National Provider Identifier
1013051036
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
012272 Issued in LA
Practice address
1810 Lindberg Dr Ste 1100
Slidell, LA 70458-8158
Phone
(985) 646-0945
Fax
(985) 643-8510
NPI assigned
Feb 16, 2007
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 012272 LA Primary

Addresses

Primary practice location

1810 Lindberg Dr Ste 1100
Slidell, LA 70458-8158

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 643-8510

Other practice location 1

901 Gause Blvd Ste 100
Slidell, LA 70458
Phone (985) 280-8970

Other identifiers 1

IdentifierTypeStateIssuer
1339521MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000314 LA Practitioner - Internal Medicine 1052490026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1810 Lindberg Dr
Suite 1100
Slidell, LA 70458-8158
Phone (985) 646-0945

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012272LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 31, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC Internal Medicine CurrentSince Apr 22, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Apr 22, 2024 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 31, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Slidell Memorial Hospital CurrentSince May 1, 2017 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
Center for Relief-Slidell Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1120 Robert Blvd
Ste 200
Slidell, LA 70458
Phone (985) 646-2223

1150 Robert Blvd
Ste 190
Slidell, LA 70458
Phone (985) 646-4415

1810 Lindberg Dr
Ste 1100
Slidell, LA 70458
Phone (985) 646-0945

901 Gause Blvd
Ste 100
Slidell, LA 70458
Phone (985) 280-8970

Networks

  • MS PPO
  • MS PPO C-SNP
  • TX HMO D-SNP
  • LA PPO C-SNP
  • MS PPO D-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: cgraves5282003@direct.casso.us.com

Organizations & group practices 9

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1013051036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-643-8510",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 1100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588158",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Gause Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "70458",
            "country_code": "US",
            "telephone_number": "985-280-8970",
            "fax_number": "985-280-2618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CHRISTY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "012272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1339521",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.