Active NPI
Anthony Freeman Graves, FNP-C
- Family Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- SP027579
- Practice address
- 6212 Walnut St
Philadelphia, PA 19139-3706 - Phone
- (215) 476-6264
- Fax
- (215) 689-0893
- NPI assigned
- May 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | SP027579 | PA | Primary |
Addresses
Primary practice location
6212 Walnut St
Philadelphia, PA 19139-3706
Mailing address
6136 170TH St Apt M4
Fresh Meadows, NY 11365-1957
Phone (718) 709-0940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 N Lansdowne Ave
Lansdowne, PA 19050-2205
Phone (631) 268-5644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP027579 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Providers Partners PLLC | Current | Accepting new patients | |
| Regional Healthcare Group LLC | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients |
Locations
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201
905 Tower Rd
Ste 3188
Bristol, PA 19007
Phone (443) 483-9300
25 N Lansdowne Ave
Lansdowne, PA 19050
Phone (631) 268-5644
6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lansdowne, PA
- NPI 1548038805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1053003012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6136 170TH ST APT M4",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113651957",
"telephone_number": "718-709-0940",
"fax_number": "516-441-6768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191393706",
"telephone_number": "215-476-6264",
"fax_number": "215-689-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "ANTHONY",
"middle_name": "FREEMAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-25",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "SP027579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.