Individual provider Active NPI

Chana Graves McDowell, ACSM-EP

  • Clinical Exercise Physiologist
  • Gresham, SC
National Provider Identifier
1902593874
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
754142 Issued in SC
Practice address
5011 Buster Graves CT
Gresham, SC 29546-4208
Phone
(843) 487-8741
NPI assigned
Apr 20, 2023
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 754142 SC Primary

Addresses

Primary practice location

5011 Buster Graves CT
Gresham, SC 29546-4208

Mailing address

5011 Buster Graves CT
Gresham, SC 29546-4208
Phone (843) 487-8741

Other names 1

  • Chana Graves Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
754142SCMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1902593874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 BUSTER GRAVES CT",
            "city": "GRESHAM",
            "state": "SC",
            "postal_code": "295464208",
            "telephone_number": "843-487-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 BUSTER GRAVES CT",
            "city": "GRESHAM",
            "state": "SC",
            "postal_code": "295464208",
            "telephone_number": "843-487-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "CHANA",
        "middle_name": "GRAVES",
        "credential": "ACSM-EP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "SC",
            "license": "754142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANA",
            "last_name": "GRAVES",
            "credential": "CHANA DONNA GRAVES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gresham, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.