Jennifer M Graves, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1089 Issued in SC

Practice address

2781 Tricom St
Palmetto Pediatrics, PA
Charleston, SC 29406-9170

Phone

(843) 797-5600

Fax

(843) 572-4872

NPI assigned

Jan 19, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1942280623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 TRICOM ST",
            "address_2": "PALMETTO PEDIATRICS, PA",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069170",
            "telephone_number": "843-797-5600",
            "fax_number": "843-572-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 TRICOM ST",
            "address_2": "PALMETTO PEDIATRICS, PA",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069170",
            "telephone_number": "843-797-5600",
            "fax_number": "843-572-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleshette Grant, RN, BSN
• Grantsnet of Charleston
• Grantsnet of Charleston
• Kara Grasso Veeder, D.M.D, M.S.D.
• George E Gratzick, MD
• Kelly Graves, M.D.
• Lynn Garlock Graves, LPC
• Sara J Graves, AU.D.
• Sherry M Graves, NP
• Audrey Lathan Gray, PHARM D

• Medical Physician Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Medical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.