NPIMap

Individual provider Active NPI

Robert W Hargraves, MD

  • Family Medicine Physician
  • Guntersville, AL
National Provider Identifier
1821048794
Registry record updated Jan 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9277 Issued in AL
Practice address
180 Greystone Pass
Guntersville, AL 35976-4801
Phone
(256) 224-9167
Fax
(256) 486-9244
NPI assigned
May 11, 2006
Last updated
Jan 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9277 AL Primary

Addresses

Primary practice location

180 Greystone Pass
Guntersville, AL 35976-4801

Mailing address

180 Greystone Pass
Guntersville, AL 35976-4801
Phone (256) 224-9167

Other identifiers 2

IdentifierTypeStateIssuer
000011175MedicaidAL
051011175OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000019 AL Practitioner - Family Practice 2365443066 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Vanderbilt University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMC Inpatient Physician ServicesGroup PAC ID 9537669718, 19 clinicians
Marshall Medical Center NorthGroup PAC ID 8022176346, 6 clinicians

Practice addresses (Care Compare)

2505 US Hwy 431
Boaz, AL 35957-5908
Phone 25689466006940

2512 U S Hwy 431
Boaz, AL 35957
Phone (256) 593-8310

617 Blount Ave
Suite 102
Guntersville, AL 35976-1503
Phone (256) 224-9167

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9277ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Current Accepting new patients
HH Health System - Marshall LLC CurrentSince Mar 1, 2020 Accepting new patients
Marshall Medical Center North CurrentSince Sep 13, 2009 Accepting new patients
HH Health System - Marshall LLC CurrentSince Mar 1, 2020 Accepting new patients
MMC Inpatient Physician Services CurrentSince Jan 27, 2026 Accepting new patients
Marshall Medical Center North CurrentSince Jul 24, 2010 Accepting new patients
Arab Family Healthcare LLC Family Medicine CurrentSince Nov 1, 2008 Accepting new patients
Diversicare of Arab, LLC Past Accepting new patients
Preferred Family Healthcare, LLC PastSince May 10, 2020 Accepting new patients
Robert W Hargraves MD PC Family Medicine PastSince Sep 15, 1994 Accepting new patients

Locations

121 Golfview Dr NE
Arab, AL 35016
Phone (256) 931-3531

2505 US Highway 431
Boaz, AL 35957
Phone (256) 506-0061

227 Brittany Rd
Guntersville, AL 35976
Phone (256) 891-3144

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609632000000",
    "number": "1821048794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GREYSTONE PASS",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359764801",
            "telephone_number": "256-224-9167",
            "fax_number": "256-486-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GREYSTONE PASS",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359764801",
            "telephone_number": "256-224-9167",
            "fax_number": "256-486-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-03",
        "certification_date": "2021-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000011175",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  OF AL",
            "identifier": "051011175",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.