Deborah Louise Graves, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN12792 Issued in TN

Practice address

1600 Coleman Dr
Humboldt, TN 38343-1995

Phone

(731) 470-4020

Fax

(731) 562-0349

NPI assigned

May 9, 2007

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humboldt Family Walk-in Clinic LLCGroup PAC ID 3072899434, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Humboldt Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Humboldt, TN
  • NPI 1881135895

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Humboldt Family Walk-in Clinic LLC

  • Rural Health Clinic/Center
  • Humboldt, TN
  • NPI 1881135895
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Louise Graves

  • Nurse Practitioner
  • Humboldt, TN
  • NPI 1861866014
  NPD (past) Authorized official

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

• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• Milan General Hospital, Inc.

  dba West Tennessee Healthcare Milan Hospital

  • General Acute Care Hospital
  • Milan, TN
  • NPI 1699765453
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1841404035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N CENTRAL AVE",
            "address_2": "SUITE D",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383431756",
            "telephone_number": "731-470-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COLEMAN DR",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383431995",
            "telephone_number": "731-470-4020",
            "fax_number": "731-562-0349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511765",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Foster
• Jean Marie Franklin -Schultz, OT
• Gary Osborne PC
• Jessica Gideon
• Casandra Jean Glisson
• Shelby Mosley Graves
• Christin Gray, NP
• Harris-Lee Speech Services
• Jennifer M Harris, M.S.,CCC-SLP
• Debra Renae Henley, R.N.

• Family Nurse Practitioner in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.