Individual provider Active NPI

Paula Gayle Gravitt, MS, PHMNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1346817319
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181555 Issued in VA
Practice address
555 Belaire Ave Ste 210
Chesapeake, VA 23320-4783
Phone
(757) 828-5659
Fax
(757) 992-8583
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181555 VA Primary

Addresses

Primary practice location

555 Belaire Ave Ste 210
Chesapeake, VA 23320-4783

Mailing address

1600 Whippoorwill Trce
Chesapeake, VA 23322-1275
Phone (804) 921-5580

Other practice location 1

1600 Whippoorwill Trce
Chesapeake, VA 23322-1275
Phone (804) 921-5580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210812003551 VA Practitioner - Nurse Practitioner 2163826140 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0024181555VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paula G. Gravitt, LLC Psychiatric/Mental Health CurrentSince Feb 23, 2025 Accepting new patients
Rawles & Associates, PLC CurrentSince Feb 11, 2024 Accepting new patients
Childrens Specialty Group PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2010 Old Greenbrier Rd
Ste G
Chesapeake, VA 23320
Phone (757) 492-2912

555 Belaire Ave
Ste 210
Chesapeake, VA 23320
Phone (757) 209-2571

850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

Interoperability endpoints

  • Direct secure messaging: paula.gravitt.1@32413.direct.athenahealth.com

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1346817319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WHIPPOORWILL TRCE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233221275",
            "telephone_number": "804-921-5580",
            "fax_number": "757-992-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BELAIRE AVE STE 210",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204783",
            "telephone_number": "757-828-5659",
            "fax_number": "757-992-8583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Whippoorwill Trce",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233221275",
            "country_code": "US",
            "telephone_number": "804-921-5580",
            "fax_number": "757-992-8583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "PAULA",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MS, PHMNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.