Individual provider Active NPI

Lorenetta Louise Graves, FNP

  • Family Nurse Practitioner
  • Hopkinsville, KY
National Provider Identifier
1407321144
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
159299 Issued in GA
Practice address
2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone
(270) 632-1548
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 159299 GA
Family Nurse Practitioner 363LF0000X 220788 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11010230 FL
Family Nurse Practitioner 363LF0000X 24884 TN
Family Nurse Practitioner 363LF0000X 159299 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30867 SC
Family Nurse Practitioner 363LF0000X 11010230 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 220788 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6881126 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3013163 KY
Family Nurse Practitioner 363LF0000X 278581 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24884 TN
Family Nurse Practitioner 363LF0000X 30867 SC
Family Nurse Practitioner 363LF0000X 3013163 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 278581 AZ

Addresses

Primary practice location

2955 Fort Campbell Blvd
Hopkinsville, KY 42240

Mailing address

495 Turner Dr
McDonough, GA 30252-4902
Phone (678) 642-8514

Other practice location 1

491 Sage Road
Suite 200
White House, TN 37188
Phone (615) 672-4089

Other practice location 2

254 Ren Mar Dr
Pleasant View, TN 37146-3722
Phone (615) 746-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA, SC3 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
I20190320000777 KY Practitioner - Nurse Practitioner 5698013431 Reassigns benefits to 1 organization
I20230317001662 GA Practitioner - Nurse Practitioner 5698013431 Reassigns benefits to 1 organization
I20260113000915 SC Practitioner - Nurse Practitioner 5698013431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Urgent Care LLCGroup PAC ID 9739210337, 81 clinicians

Practice addresses (Care Compare)

1515 Bells Hwy
Walterboro, SC 29488-2517
Phone (843) 538-6240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278581AZMDFamily Nurse Practitioner
11010230FLMDFamily Nurse Practitioner
159299GAMDFamily Nurse Practitioner
220788OKMDFamily Nurse Practitioner
30867SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Urgent Care LLC CurrentSince Oct 15, 2025 Accepting new patients
Fast Pace Kentucky PLLC CurrentSince Feb 15, 2019 Accepting new patients
Brock Medical, LLC CurrentSince Feb 15, 2019 Accepting new patients
Family Medical and Urgent Care Clinic of McDonough, LLC CurrentSince Nov 22, 2022 Accepting new patients
Family Medical Associates, LLC Current Accepting new patients
Donna M. Haney M.D., P.C. PastSince Nov 22, 2022 Accepting new patients

Locations

1631 Highway 20 W
McDonough, GA 30253
Phone 7702882822 ext. 135

230 Plaza Dr
Zebulon, GA 30295
Phone (404) 569-1310

2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 348-3677

1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055

182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933

1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJFBD

Organizations & group practices 6

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1407321144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 TURNER DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302524902",
            "telephone_number": "678-642-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 FORT CAMPBELL BLVD",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "42240",
            "telephone_number": "270-632-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Sage Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "White House",
            "state": "TN",
            "postal_code": "37188",
            "country_code": "US",
            "telephone_number": "615-672-4089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "254 Ren Mar Dr",
            "address_purpose": "LOCATION",
            "city": "Pleasant View",
            "state": "TN",
            "postal_code": "371463722",
            "country_code": "US",
            "telephone_number": "615-746-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LORENETTA",
        "middle_name": "LOUISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "159299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "220788",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "159299",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010230",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "220788",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "6881126",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3013163",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "278581",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "30867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013163",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "278581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.