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

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

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 AssociationGroup PAC ID 1355249541, shared by 7 NPIs, 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 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

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.

• Collom & Carney Clinic Association

  dba Collom and Carney Clinic

  • Hematology & Oncology Physician
  • Texarkana, TX
  • NPI 1114909934
  Medicare reassignment NPD
• Collom & Carney Clinic Association

  • Family Medicine Physician
  • Prescott, AR
  • NPI 1740262732
  Medicare reassignment NPD
• Collom & Carney Clinic Association

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

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

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

  dba Collom and Carney Clinic

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1285616805
  NPD
• Collom & Carney Clinic Association

  • Pain Medicine (Anesthesiology) Physician
  • Texarkana, TX
  • NPI 1962829747
  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

  dba Christus St. Michael Health System

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba CHRISTUS St. Michael Health System

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Family Care Home Health, Inc.

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

  dba Adoration Home Health

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

  dba Elite Home Health

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

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

{
    "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": [],
    "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

• Family Medicine Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• 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.