Individual provider Active NPI

Miles H. Graivier, M.D.

  • Plastic Surgery Physician
  • Roswell, GA
National Provider Identifier
1407817554
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
034602 Issued in GA
Practice address
1295 Hembree Rd
Suite 100B
Roswell, GA 30076-5721
Phone
(770) 772-0695
Fax
(770) 751-0409
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 034602 GA Primary

Addresses

Primary practice location

1295 Hembree Rd
Suite 100B
Roswell, GA 30076-5721

Mailing address

1295 Hembree Rd
Suite 100B
Roswell, GA 30076-5721
Phone (770) 772-0695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1407817554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD",
            "address_2": "SUITE 100B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-772-0695",
            "fax_number": "770-751-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD",
            "address_2": "SUITE 100B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765721",
            "telephone_number": "770-772-0695",
            "fax_number": "770-751-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAIVIER",
        "first_name": "MILES",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "034602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.