Mark Allen Graves, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16146 Issued in TN

Practice address

7723 Clearview Church LN
Lyles, TN 37098-1674

Phone

(931) 670-5520

Fax

(931) 670-5312

NPI assigned

Sep 28, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, MN, SD3 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 3

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

International Falls Memorial Hospital AssociationGroup PAC ID 1951365998, 18 clinicians

Winner Regional Healthcare CenterGroup PAC ID 5597663963, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Rainy Lake Medical Center Hospital, International Falls, MN, CCN 241322
• Winner Regional Healthcare Center - Cah Hospital, Winner, SD, CCN 431334
• Rainy Lake Medical Center Nursing home, CCN 24Z322

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lyi9196@yourcarecommunity.org

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.

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264
  Medicare reassignment Care Compare group NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Medicare reassignment Care Compare group NPD
• Winner Regional Healthcare Center

  • Critical Access Hospital
  • Winner, SD
  • NPI 1538233549
  Medicare reassignment Care Compare group NPD
• Amg-Crockett, LLC

  dba Advanced Neurology Associates

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  Medicare reassignment NPD
• Apogee Medical Group, Tennessee, P.C.

  • General Practice Physician
  • Lawrenceburg, TN
  • NPI 1578717682
  Medicare reassignment NPD
• Southland TN Emergency Medical Services LLC

  • Emergency Medicine Physician
  • Waynesboro, TN
  • NPI 1518773712
  Medicare reassignment NPD
• House Call Medical, LLC

  • Family Nurse Practitioner
  • Santa Fe, TN
  • NPI 1336540319
  NPD (past) Authorized official
• Amg Crockett LLC

  dba Well-Med Lawrenceburg

  • Family Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1063802767
  NPD
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD
• Maury Regional Hospital Marshall Medical Center

  dba MRMG Spring HIll

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Pharmacy

  • Pharmacy
  • International Falls, MN
  • NPI 1275284374
  NPD
• Tioga Medical Center

  dba Tioga Medical Center Hospital

  • Critical Access Hospital
  • Tioga, ND
  • NPI 1043280696
  NPD

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

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Care Compare affiliation
• Winner Regional Healthcare Center

  • Critical Access Hospital
  • Winner, SD
  • NPI 1538233549
  Care Compare affiliation

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1881977684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7723 CLEARVIEW CHURCH LN",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981674",
            "telephone_number": "931-670-5520",
            "fax_number": "931-670-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7723 CLEARVIEW CHURCH LN",
            "city": "LYLES",
            "state": "TN",
            "postal_code": "370981674",
            "telephone_number": "931-670-5520",
            "fax_number": "931-670-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "16146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl A Bivens, D.D.S.
• Community Pharmacy Care, Inc. (Dickson Apothecary East)
• Dialysis Clinic Inc.
• Dickson Medical Associates, PC (DMA Lyles)
• Sarah Whitley Gagnon, LPC-MHSP
• Zilla F Henricksen, FNP-C
• Hickman Community Health Careservices (Hickman Medical Center)
• KJK LLC (East Hickman Pharmacy)
• Brent Lee, D.D.S.
• Leah Gordon Lee, DDS

• Family Nurse Practitioner in Lyles, TN
• Providers in Lyles, 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 Sep 28, 2011; 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.

Verify at the official NPI Registry.