Active NPI
James Edward Graves III, FNP-C
- Family Nurse Practitioner
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11010974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11010974 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgical Associates PA | Current | Accepting new patients | |
| Coastal Vascular and Interventional PLLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | 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
- 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.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1851403125
-
- Vascular Surgery Physician
- Pensacola, FL
- NPI 1285888180
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miramar Beach, FL
- NPI 1558391771
-
dba HCA Florida Gulf Coast Hospital
- General Acute Care Hospital
- Panama City, FL
- NPI 1699721589
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba HCA Florida Twin Cities Hospital
- General Acute Care Hospital
- Niceville, FL
- NPI 1891732988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.