Individual provider Active NPI

Joe Alan Graves, MD

  • Pediatric Otolaryngology Physician
  • Knoxville, TN
National Provider Identifier
1306834619
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
35C.001878 Issued in OH
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

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624004174 FL Practitioner - Otolaryngology 3971015082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35C.001878OHMDPediatric Otolaryngology Physician
MD23686TNMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation Current Accepting new patients
The Nemours Foundation CurrentSince Apr 20, 2025 Accepting new patients
The Nemours Foundation CurrentSince Apr 20, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.