Martie John Gravitt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.128787 Issued in OH

Practice address

169 W High St
Mount Gilead, OH 43338-1214

Phone

(419) 751-7050

Fax

(740) 513-4628

NPI assigned

May 7, 2007

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Marion Area Physicians LLC

  • Internal Medicine Physician
  • Marion, OH
  • NPI 1619230802

  Pediatrics

  Medicare reassignment NPD
• Ohiohealth Urgent Care LLC

  • Urgent Care Clinic/Center
  • Dublin, OH
  • NPI 1811207160
  Medicare reassignment NPD
• Little Legends Pediatrics LLC

  • Pediatrics Physician
  • Mount Gilead, OH
  • NPI 1265203384
  NPD Authorized official
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1083827299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381214",
            "telephone_number": "419-751-7050",
            "fax_number": "740-513-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 W HIGH ST",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381214",
            "telephone_number": "419-751-7050",
            "fax_number": "740-513-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "MARTIE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.128787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas E Freundlich, MD
• John Grant Galbraith, M.D.
• Mohiuddin Ghazi, MD
• Leanne Elaine Goncalves, R.D.,L.D.
• Grant Galbraith MD Inc.
• Noelle Gravley
• Jessica L Green
• Latoi Habbas
• Baylee Ann Hack
• Alicia Hadberg

• Pediatrics Physician in Mount Gilead, OH
• Providers in Mount Gilead, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.