Individual provider Active NPI

James Edward Graves III, FNP-C

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1144818709
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010974 Issued in FL
Practice address
1032 Mar Walt Dr Unit 250
Fort Walton Beach, FL 32547-6663
Phone
(850) 224-4345
NPI assigned
Jan 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010974 FL Primary

Addresses

Primary practice location

1032 Mar Walt Dr Unit 250
Fort Walton Beach, FL 32547-6663

Mailing address

15 Tall Pine TRL
Shalimar, FL 32579-1915
Phone (251) 550-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210319000580 FL Practitioner - Nurse Practitioner 3476960451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

36474 C Emerald Coast Pkwy
Suite 3101
Destin, FL 32541-6701
Phone (850) 344-1646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11010974FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Apr 1, 2025 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA CurrentSince Feb 1, 2022 Accepting new patients
Coastal Vascular and Interventional PLLC CurrentSince Feb 1, 2022 Accepting new patients
North Florida Surgeons, PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

327 Medcrest Dr
Unit B
Crestview, FL 32536
Phone (850) 682-0032

5300 S Ferdon Blvd
Crestview, FL 32536
Phone (850) 344-1646

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 473-0990

1034 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 344-1646

1032 Mar Walt Dr
Unit 250
Ft Walton Bch, FL 32547
Phone (850) 682-0032

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

5970 Berryhill Rd
Milton, FL 32570

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

554 Twin Cities Blvd
Ste D
Niceville, FL 32578
Phone (850) 315-9210

1827 Harrison Ave
Panama City, FL 32405
Phone (850) 785-4344

2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

2130 E Johnson Ave
Ste 120
Pensacola, FL 32514
Phone (850) 332-6339

Interoperability endpoints

  • Direct secure messaging: james.graves.1@9109.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1144818709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TALL PINE TRL",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791915",
            "telephone_number": "251-550-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MAR WALT DR UNIT 250",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476663",
            "telephone_number": "850-224-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.