NPIMap

Organization Active NPI

Graves Gilbert Clinic PLLC

  • Rural Health Clinic/Center
  • Cave City, KY
National Provider Identifier
1104635663
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GRAVES GILBERT CLINIC PLLC
Practice address
400 N Dixie Hwy
Cave City, KY 42127-9546
Phone
(270) 773-2600
Fax
(270) 361-5101
NPI assigned
Dec 30, 2024
Organization subpart
Yes
Parent organization
GGC HEALTH, PLLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Christopher Vowels
Title
Cfo
Phone
(270) 781-5111

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 9

Organizations that report the same tax identification number in the National Provider Directory.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 254

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 254

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1019034GGC Rural Health Clinic Cave City400 N Dixie Highway, Cave City, KY 42127Certificate of waiverAug 19, 2026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220001910 KY Part a Provider - Rural Health Clinic 4082511167 Practice locations: Cave City, KY

Rural health clinic certification: CCN B08902

Medicare enrollment files
Legal name
GRAVES GILBERT CLINIC PLLC
Doing business as
GGC RURAL HEALTH CLINIC CAVE CITY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 30, 2025
Last certification
Oct 30, 2025
Ownership / control type
1C
Organization structure
LLCProprietary
Enrollment address
400 N Dixie Hwy
Cave City, KY 42127-9546

All disclosed owners & managing parties 14

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ashley Norris Individual Corporate DirectorDO Jun 1, 2025
Sherryl B Reed Individual Corporate DirectorMD Jul 1, 2024
Samer R Kalakish Individual Corporate DirectorMD Jun 1, 2015
Mark E. Bigler Individual Corporate OfficerCmo Oct 1, 2024
Brandon Falknor Individual Corporate OfficerCoo Apr 8, 2024
W-2 Managing Employee Apr 8, 2024
Roger T Williams Individual Corporate DirectorMD Jan 2, 2025
W-2 Managing EmployeeMD; Jan 2, 2025
Cory Fielding Individual Corporate DirectorMD Jul 1, 2022
Amy C Gearlds Individual Corporate DirectorMD Jul 1, 2024
Sean Timothy Willgruber Individual Corporate DirectorMD Jun 20, 2018
GGC Health, PLLC Organization, Bowling Green, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 20, 2024 100%
Michael D'Eramo Individual Corporate OfficerCeo Oct 16, 2023
W-2 Managing Employee Oct 16, 2023
Christopher Vowels Individual Corporate OfficerCfo Jun 1, 2025
W-2 Managing EmployeeCfo Jun 1, 2025
Marc Aaron Moore Individual Corporate DirectorMD Jul 1, 2022
Jerry P. Roy Individual Corporate DirectorMD Jun 15, 2019

National Provider Directory

National Provider Directory
Tax ID family
Graves-Gilbert Clinic (10 organizations share this tax ID)

Locations

5575 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 282-7088

1347 KY Highway 185
Ste 2
Bowling Green, KY 42101
Phone (270) 780-0552

165 Natchez Trace Ave
Bowling Green, KY 42103
Phone (270) 782-7800

1100 Brookhaven Rd
#101
Franklin, KY 42134
Phone (270) 586-1969

101 W Roberts St
Morgantown, KY 42261
Phone (270) 526-3841

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

400 N Dixie Hwy
Cave City, KY 42127-9546

Mailing address

PO Box 90007
Bowling Green, KY 42102-9007
Phone (270) 780-2497

Other names 2

NPPES NPI Registry
  • GGC Rural Health Clinic Cave City Doing business as
  • Gilbert Barbee Moore & McIlvoy PSC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2026.

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1104635663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90007",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421029007",
            "telephone_number": "270-780-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N DIXIE HWY",
            "city": "CAVE CITY",
            "state": "KY",
            "postal_code": "421279546",
            "telephone_number": "270-773-2600",
            "fax_number": "270-361-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVES GILBERT CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GGC HEALTH, PLLC",
        "enumeration_date": "2024-12-30",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "VOWELS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-781-5111"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GGC Rural Health Clinic Cave City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GGC Rural Health Clinic Cave City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gilbert Barbee Moore & McIlvoy PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cave City, KY

Sources for this page

Verify at the official NPI Registry.