Individual provider Active NPI

Grace Whiteley Graham, D.O.

  • Reproductive Endocrinology Physician
  • Richmond, VA
National Provider Identifier
1487008280
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0101278810 Issued in VA
Practice address
Shady Grove Fertility - Richmond
9030 Stony Point Parkway #450
Richmond, VA 23223
Phone
(804) 500-9999
NPI assigned
Apr 18, 2016
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 0101278810 VA Primary

Addresses

Primary practice location

Shady Grove Fertility - Richmond
9030 Stony Point Parkway #450
Richmond, VA 23223

Mailing address

202 Nottingham Rd
Richmond, VA 23221-3115
Phone (919) 302-7008

Other names 1

  • Dr. Grace Elizabeth Whiteley Former name

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
0101278810VAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Fertility Associates, LLC Reproductive Endocrinology PastSince Jul 16, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gwhiteley35958@direct.vumc.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1487008280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 NOTTINGHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232213115",
            "telephone_number": "919-302-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHADY GROVE FERTILITY - RICHMOND",
            "address_2": "9030 STONY POINT PARKWAY #450",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-500-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GRACE",
        "middle_name": "WHITELEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0101278810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WHITELEY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.