Janice Tillman Gravitt, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN163657 Issued in GA

Practice address

60 Long Creek Lane
Richmond Hill, GA 31324

Phone

(912) 756-2880

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275062564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LONG CREEK LN",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248601",
            "telephone_number": "912-756-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LONG CREEK LANE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "31324",
            "telephone_number": "912-756-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "JANICE",
        "middle_name": "TILLMAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN163657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Marie Gonzalez, MSCCC-SLP
• Melissa Ann Gonzalez
• Matthew Good, PA-C
• Catherine Corish Grant, PA-C
• George Grant, O.D.
• Denise Graybeal, LMSW, LMT
• Briana Caresse Grayson
• Greater Living Home Care LLC
• Lauren Green
• Adia N Greer

• Registered Nurse in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.