NPIMap

Individual provider Active NPI

Julie Deaun Graves, MD

  • Family Medicine Physician
  • St Augustine, FL
National Provider Identifier
1093794265
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5110 Issued in TX
Practice address
212 Desoto Rd
St Augustine, FL 32080-7600
Phone
(512) 689-8001
NPI assigned
Jan 16, 2006
Last updated
Dec 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D84791 MD
Family Medicine Physician 207Q00000X G5110 TX Primary

Addresses

Primary practice location

212 Desoto Rd
St Augustine, FL 32080-7600

Mailing address

212 Desoto Rd
St Augustine, FL 32080-7600
Phone (512) 689-8001

Other identifiers 2

IdentifierTypeStateIssuer
136267534MedicaidTX
136267531MedicaidTX

Other names 1

  • Dr. Julie Graves Moy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Graves Moy MD MPH PA Family Medicine PastSince Apr 1, 2007 Accepting new patients
Austin Premier Emergency Physicians Emergency Medicine Past Accepting new patients
Socrates Emergency Physicians Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 Accepting new patients
Physician's Inpatient Care PA Internal Medicine Past Accepting new patients
Gonzales Healthcare Systems Past Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Past Accepting new patients
Fred E Griffiths Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Cannon Emergency Physicians Emergency Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Wisconsin, LTD Internal Medicine Past Accepting new patients
Harlingen Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients
Renal Associates, P.a. PastSince May 1, 2023 Accepting new patients
Leatherland Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.moy.1@19960.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1093794265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 DESOTO RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807600",
            "telephone_number": "512-689-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 DESOTO RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807600",
            "telephone_number": "512-689-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JULIE",
        "middle_name": "DEAUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D84791",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136267534",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136267531",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MOY",
            "middle_name": "GRAVES",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.