Active NPI
Brandon Gabe Graves, DNP CRNA
- Certified Registered Nurse Anesthetist
- Carrollton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN288492
- Practice address
- 705 Dixie St
Carrollton, GA 30117-3818 - Phone
- (770) 812-9666
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 239737 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | RN288492 | GA | Primary |
Addresses
Primary practice location
705 Dixie St
Carrollton, GA 30117-3818
Mailing address
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012-1351
Phone (602) 262-8917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OK
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arizona College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 S Utica Ave
HC Med Ctr
Tulsa, OK 74104-4012
Phone (918) 579-1000
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alphonsus Professional Medical Services LLC | Single Specialty | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Single Specialty | Current | Accepting new patients |
| Ascend Anesthesia LLC | Single Specialty | Current | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Single Specialty | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| St Alphonsus Professional Medical Services LLC | Single Specialty | Current | Accepting new patients |
| Summit Anesthesia Services PLLC | Single Specialty | Current | Accepting new patients |
| Greater Anesthesia Solutions | Single Specialty | Current | Accepting new patients |
| Pinnacle Global Health LLC | Past | Accepting new patients |
Locations
560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217
1775 McCulloch Blvd N
Lk Havasu Cty, AZ 86403
Phone (925) 453-0696
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080
645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Single Specialty
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
Single Specialty
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
AZ, Single Specialty
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
dba St Alphonsus Trauma Physician Services
- Trauma Surgery Physician
- Boise, ID
- NPI 1336166883
Single Specialty
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
Single Specialty
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Phoenix, AZ
- NPI 1114832417
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
-
dba Havasu Regional Medical Center
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1104478916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 E MISSOURI AVE",
"address_2": "STE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121351",
"telephone_number": "602-262-8917",
"fax_number": "602-262-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DIXIE ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173818",
"telephone_number": "770-812-9666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "BRANDON",
"middle_name": "GABE",
"credential": "DNP CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "239737",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN288492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.