Individual provider Active NPI

Leroy T. Gravatte IV, M.D.

  • Family Medicine Physician
  • North Garden, VA
National Provider Identifier
1043269129
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101042101 Issued in VA
Practice address
4916 Plank Rd
North Garden, VA 22959-1613
Phone
(434) 243-4660
Fax
(434) 244-9476
NPI assigned
May 8, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101042101 VA Primary

Addresses

Primary practice location

4916 Plank Rd
North Garden, VA 22959-1613

Mailing address

PO Box 749112
Atlanta, GA 30374-9112

Other identifiers 1

IdentifierTypeStateIssuer
10035490MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgravatte179258@direct.healthsystem.virginia.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031204000835 VA Practitioner - Family Practice 9739084591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1015 Spring Creek Pkwy
Zion Crossroads, VA 22942-7019
Phone (434) 243-9466

1215 Lee St
Charlottesville, VA 22908-0816

4916 Plank Rd
Unit 205
North Garden, VA 22959-1613
Phone (434) 243-4660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042101VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Apr 1, 2013 Accepting new patients
Fauquier Medical Center LLC CurrentSince Nov 1, 2013 Accepting new patients
Pathfinder Diagnostics Current Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients
Jennifer C and Brian a Prax, Partners PastSince Jul 2, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Rector & Visitors of the University of Virginia PastSince Jul 2, 2023 Accepting new patients

Locations

Lee St And 11th St SW
Charlottesville, VA 22908
Phone (434) 924-5959

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

16240 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5656

4376 Germanna Hwy
Locust Grove, VA 22508
Phone (540) 948-6743

493 Blackwell Rd
Warrenton, VA 20186
Phone (540) 316-5012

493 Blackwell Rd
Ste 202
Warrenton, VA 20186
Phone (540) 341-1734

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: leroy.t.gravatte.1@17026.direct.athenahealth.com
  • Direct secure messaging: lgravatte179258@direct.healthsystem.virginia.edu

Organizations & group practices 7

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 1

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1043269129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749112",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 PLANK RD",
            "city": "NORTH GARDEN",
            "state": "VA",
            "postal_code": "229591613",
            "telephone_number": "434-243-4660",
            "fax_number": "434-244-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVATTE",
        "first_name": "LEROY",
        "middle_name": "T.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101042101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10035490",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgravatte179258@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16240 Bennett Rd",
            "city": "Culpeper",
            "state": "VA",
            "country_code": "US",
            "postal_code": "227014630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Garden, VA

Sources for this page

Verify at the official NPI Registry.