Active NPI
Joe Alan Graves, MD
- Pediatric Otolaryngology Physician
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 35C.001878
- Practice address
- 2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219 - Phone
- (865) 673-8229
- Fax
- (865) 673-8893
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | MD23686 | TN | |
| Pediatric Otolaryngology Physician | 207YP0228X | 35C.001878 | OH | Primary |
Addresses
Primary practice location
2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219
Mailing address
2100 W Clinch Ave
Suite 330
Knoxville, TN 37916-2219
Phone (865) 673-8229
Other practice location 1
1 Perkins Sq
Akron, OH 44308-1063
Phone (330) 543-4390
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35C.001878 | OH | MD | Pediatric Otolaryngology Physician |
| MD23686 | TN | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700
Interoperability endpoints
- jgraves129083@direct.nemours.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1306834619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-673-8229",
"fax_number": "865-673-8893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CLINCH AVE",
"address_2": "SUITE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379162219",
"telephone_number": "865-673-8229",
"fax_number": "865-673-8893"
}
],
"practiceLocations": [
{
"address_1": "1 Perkins Sq",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443081063",
"country_code": "US",
"telephone_number": "330-543-4390",
"fax_number": "330-543-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVES",
"first_name": "JOE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "TN",
"license": "MD23686",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "OH",
"license": "35C.001878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.