Active NPI
Melonie Showers Graves, NP
- Family Nurse Practitioner
- Newhebron, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 903868
- Practice address
- 202 Jefferson St
Newhebron, MS 39140-3809 - Phone
- (601) 694-2116
- Fax
- (855) 447-0640
- NPI assigned
- Feb 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Pearl, MS
- NPI 1043236326
MS
-
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1700349222
MS
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Family, TN
-
- Nephrology Physician
- Brentwood, TN
- NPI 1326655986
Family, MS
-
- Nephrology Physician
- Brentwood, TN
- NPI 1336748300
AL, Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
Family, LA
-
- Federally Qualified Health Center (FQHC)
- Columbia, MS
- NPI 1679747703
-
- Federally Qualified Health Center (FQHC)
- Flowood, MS
- NPI 1689440133
-
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200730002114 | MS | Practitioner - Nurse Practitioner | 6507281078 | Reassigns benefits to 3 organizations |
| I20250627000884 | TN | Practitioner - Nurse Practitioner | 6507281078 | Reassigns benefits to 1 organization |
| I20250630000512 | AL | Practitioner - Nurse Practitioner | 6507281078 | Reassigns benefits to 1 organization |
| I20251108000116 | LA | Practitioner - Nurse Practitioner | 6507281078 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903868 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Family Health Care Clinic, Inc. | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163
290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710
202 Jefferson St
Newhebron, MS 39140
Phone (601) 694-2116
4635 Highway 80 E
Pearl, MS 39208
Phone (601) 933-2500
1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734
5410 Maryland Way
Ste 400
Brentwood, TN 37027
Interoperability endpoints
- melonie.graves.1@22854.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903868 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
202 Jefferson St
Newhebron, MS 39140-3809
Mailing address
202 Jefferson St
Newhebron, MS 39140-3809
Phone (601) 694-2116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 21, 2024.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1760016265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 JEFFERSON ST",
"city": "NEWHEBRON",
"state": "MS",
"postal_code": "391403809",
"telephone_number": "601-694-2116",
"fax_number": "855-447-0640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 JEFFERSON ST",
"city": "NEWHEBRON",
"state": "MS",
"postal_code": "391403809",
"telephone_number": "601-694-2116",
"fax_number": "855-447-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "MELONIE",
"middle_name": "SHOWERS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-24",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "903868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newhebron, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.