Blane A Graves, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L4402 Issued in TX

Practice address

1408 College Dr
Texarkana, TX 75503-3534

Phone

(903) 794-0515

Fax

(903) 793-8000

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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.

• Collom & Carney Clinic Association

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1114909934

  TX

  Medicare reassignment Care Compare group NPD
• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Prescott, AR
  • NPI 1740262732

  AR, Family Medicine

  Medicare reassignment Care Compare group NPD
• Collom & Carney Clinic Association

  • Clinical Medical Laboratory
  • Texarkana, TX
  • NPI 1164405296
  Care Compare group NPD
• Collom & Carney Clinic Association

  • Nephrology Physician
  • Texarkana, TX
  • NPI 1265414635
  Care Compare group NPD
• Collom & Carney Clinic Association

  • Pain Medicine (Anesthesiology) Physician
  • Texarkana, TX
  • NPI 1962829747
  Care Compare group NPD
• Collom & Carney Clinic Association

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, TX
  • NPI 1295929743
  Care Compare group
• Collom & Carney Clinic Association

  • Durable Medical Equipment & Medical Supplies
  • Texarkana, TX
  • NPI 1750364899
  Care Compare group
• Collom & Carney Clinic Association

  • Cardiovascular Disease Physician
  • Texarkana, TX
  • NPI 1013252279
  NPD
• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1285616805

  Family Medicine

  NPD
• Collom and Carney Clinic Association

  • Neurology Physician
  • Texarkana, TX
  • NPI 1215918693
  NPD (past)
• Collom and Carney Clinic Association

  • Clinic/Center
  • Texarkana, TX
  • NPI 1871575514
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734

  Hospital

  Care Compare affiliation
• Family Care Home Health, Inc.

  • Home Health Agency
  • Texarkana, TX
  • NPI 1558363408
  Care Compare affiliation
• Amedisys Arkansas, L.L.C.

  • Home Health Agency
  • De Queen, AR
  • NPI 1093742066
  Care Compare affiliation
• Southwest Arkansas Homecare, LLC

  • Home Health Agency
  • Nashville, AR
  • NPI 1881892404
  Care Compare affiliation

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collom and Carney Clinic Association 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, De Queen, AR, CCN 047056
• Heritage Home Health Home health agency, Texarkana, TX, CCN 458337
• Elite Home Health Home health agency, Nashville, AR, CCN 047138
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in TX, AR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blane.graves.p1@direct.collom-carney.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2013.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1124010301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 COWHORN CREEK RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755039766",
            "telephone_number": "903-614-3000",
            "fax_number": "903-614-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 COLLEGE DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033534",
            "telephone_number": "903-794-0515",
            "fax_number": "903-793-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "BLANE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4402",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2697",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152744201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVASYS",
            "identifier": "430909809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5L641",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUE CROSS BLUE SHIELD",
            "identifier": "8K1368",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "020900066-00",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080189370",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142180001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chrystal Graham, APRN
• John W Graham, MD
• Melanie S Graham, RN, FNP
• David Robert Grant, PH.D
• Ashley P Graves
• Nancy V Graves, M.D.
• Courtney Gray
• Greater Texarkana People'S Clinic, Inc.
• Greater Texarkana Peoples' Clinic, Inc.
• David E Greathouse, MD

• All providers in Texarkana, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.

Verify at the official NPI Registry.