Organization Active NPI

Diana J Graves DO LLC

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1578881645
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIANA J GRAVES DO LLC
Doing business as
.Diana J. Graves, D.O.
Practice address
2521 SE Lake Weir Ave
Ocala, FL 34471-6722
Phone
(352) 690-6900
Fax
(352) 671-9525
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dr. Diana Johnstone Graves, D.O.NPI 1265524870
Title
Owner
Phone
(352) 690-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2521 SE Lake Weir Ave
Ocala, FL 34471-6722

Mailing address

2521 SE Lake Weir Ave
Ocala, FL 34471-6722
Phone (352) 690-6900

Other names 1

  • .Diana J. Graves, D.O. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100625000602 FL Part B Supplier - Clinic/Group Practice 3678604279 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0982542Diana J Graves DO2521 SE Lake Weir Ave, Ocala, FL 34471Certificate of waiverJan 29, 2027

National Provider Directory

National Provider Directory

Locations

2521 SE Lake Weir Ave
Ocala, FL 34471
Phone (352) 690-6900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1578881645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 SE LAKE WEIR AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716722",
            "telephone_number": "352-690-6900",
            "fax_number": "352-671-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SE LAKE WEIR AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716722",
            "telephone_number": "352-690-6900",
            "fax_number": "352-671-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA J GRAVES DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "JOHNSTONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-690-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": ".Diana J. Graves, D.O.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": ".Diana J. Graves, D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.