Individual provider Active NPI

Leah Graves, N.P.

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1013317825
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-117815 Issued in AL
Practice address
2022 Brookwood Medical Ctr Dr
Suite 211
Birmingham, AL 35209-6808
Phone
(205) 877-2955
Fax
(205) 877-2967
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-117815 AL Primary

Addresses

Primary practice location

2022 Brookwood Medical Ctr Dr
Suite 211
Birmingham, AL 35209-6808

Mailing address

2022 Brookwood Medical Ctr Dr
Suite 211
Birmingham, AL 35209-6808
Phone (205) 877-2955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016002731 AL Practitioner - Nurse Practitioner 9436370301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greg E Eudy MD PCGroup PAC ID 8921085903, 3 clinicians

Practice addresses (Care Compare)

513 Brookwood Blvd
Suite 500
Birmingham, AL 35209-7817
Phone (205) 263-0093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-117815ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greg E Eudy MD PC CurrentSince Aug 5, 2014 Accepting new patients

Locations

513 Brookwood Blvd
Ste 500
Birmingham, AL 35209
Phone (205) 263-0093

2022 Brookwood Medical Ctr Dr
Ste 211
Birmingham, AL 35209
Phone (205) 877-2555

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1013317825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 211",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2955",
            "fax_number": "205-877-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 211",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096808",
            "telephone_number": "205-877-2955",
            "fax_number": "205-877-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LEAH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-117815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.