Individual provider Active NPI

Kathy Graves, FNP-C

  • Family Nurse Practitioner
  • Yazoo City, MS
National Provider Identifier
1215337746
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R870435 Issued in MS
Practice address
823 Grand Ave
Yazoo City, MS 39194-3233
Phone
(662) 746-2261
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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 R870435 MS Primary

Addresses

Primary practice location

823 Grand Ave
Yazoo City, MS 39194-3233

Mailing address

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141202002312 MS Practitioner - Nurse Practitioner 7416279435 Reassigns benefits to 6 organizations
I20240822001643 TX Practitioner - Nurse Practitioner 7416279435 Reassigns benefits to 1 organization
I20260414000218 FL Practitioner - Nurse Practitioner 7416279435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Practice addresses (Care Compare)

7101 S Padre Island Dr
Corpus Christi Medical Center
Corpus Christi, TX 78412-4913
Phone (361) 761-1200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC CurrentSince Jun 9, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Dec 1, 2020 Accepting new patients
Maxem Health Urgent Care Flowood CurrentSince Jan 1, 2021 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Feb 1, 2015 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Feb 1, 2015 Accepting new patients
Jackson HB Medical Services LLC CurrentSince Aug 16, 2023 Accepting new patients
Correct Care, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Dec 1, 2020 Accepting new patients
App of Mississippi Ed, LLC CurrentSince Nov 15, 2019 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165

1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 11

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 1

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": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1215337746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943233",
            "telephone_number": "662-746-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 GRAND AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391943233",
            "telephone_number": "662-746-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yazoo City, MS

Sources for this page

Verify at the official NPI Registry.