Ernie L Graves, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110840536 Issued in VA

Practice address

213 River Walk Pky
Ste 101
Chesapeake, VA 23320

Phone

(757) 548-1400

Fax

(757) 548-2312

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1013982909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKY",
            "address_2": "STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-548-1400",
            "fax_number": "757-548-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 RIVER WALK PKY",
            "address_2": "STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-548-1400",
            "fax_number": "757-548-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ERNIE",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110840536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008944962",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shkia Jumea Grant, M.A. CCC-SLP
• Susan Grant
• Grateful Heartz Home Healthcare
• Grateful Mind Mental Health Services Inc
• Justin Danta Gravely-Strayhorn, LCSW
• Mileena Graves, LDO
• Paula Gayle Gravitt, MS, PHMNP-BC
• Valencia Gray Manning
• Derwin P Gray, M.D.
• Derwin Pearson Gray II, M.D.

• Physician Assistant in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.