MARY ELIZABETH GRAVES (NPI# 1164490504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164490504 |
| Entity Type | Individual |
| Full Name | MARY ELIZABETH GRAVES |
| Other Name | MARY ELIZABETH GRAVES |
| Credential | PNP |
| Practice Address |
1770 Dennis Kemp Ln Nw Kennesaw GA 30152-3938 |
| Practice Telephone | 7705159000 |
| Mailing Telephone | 7705159000 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN191607 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962861179 | Mary Jo Graves | Nurse Practitioner | 7011 N Howard St Ste 202, Fresno, CA 93720-2955 | 2016-02-16 |
| 1043609092 | Mary Graves | Case Manager/Care Coordinator | 1009 W Evergreen St, Durant, OK 74701-4719 | 2015-01-14 |
| 1508170788 | Mary Jane Graves | Registered Nurse | 1021 E 300 N, Huntington, IN 46750-9510 | 2010-07-30 |
| 1760025092 | Mary Frances Graves | Physician Assistant | 5580 Inn Rd, Mobile, AL 36619-1904 | 2019-10-18 |
| 1740835917 | Mary C Graves | Counselor | 1950 E 17th St Ste 150, Santa Ana, CA 92705-6852 | 2019-08-05 |
| 1013471192 | Mary Graves | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2019-01-23 |
| 1336562743 | Mary Kathleen Vaughan Graves | Physician Assistant | 11800 Sunrise Valley Dr Ste 800, Reston, VA 20191-5320 | 2014-01-22 |
| 1548474109 | Mary Flack Graves | Physical Therapist | 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 | 2007-05-10 |
| 1205941598 | Mary Elouise Graves | Marriage & Family Therapist | 2701 Burchill Rd N, Fort Worth, TX 76105-3012 | 2006-08-20 |
| Street Address |
1770 DENNIS KEMP LN NW |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-3938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760473276 | Kyoung-soon Kim | Pediatrics | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2005-11-03 |
| 1255980926 | Jamie Marie Conwell | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2019-09-05 |
| 1841799905 | Hilere Welch Pasley | Registered Nurse | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2018-02-05 |
| 1477939676 | Stepping Stone Pediatrics, LLC | Clinic/Center | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2015-08-11 |
| 1013001973 | Tanya S Wilcox | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215564976 | Stephanie Laurel Toole | Nurse Practitioner | 625 Big Shanty Rd Nw, Kennesaw, GA 30144-3646 | 2020-03-24 |
| 1851706972 | Jennie Barbara Sharp | Nurse Practitioner | 3104 Creekside Village Dr Nw Ste 504, Kennesaw, GA 30144-2393 | 2014-06-26 |
| 1417922071 | Linda Frye | Nurse Practitioner | 5150 Stilesboro Rd Nw, Suite 220, Kennesaw, GA 30152-7744 | 2006-02-17 |
| 1184230864 | Mary Elizabeth Moore | Nurse Practitioner | 3745 Cherokee St Nw, Kennesaw, GA 30144-6733 | 2020-09-18 |
| 1770128266 | Abigail Scanlan | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2019-11-08 |
| 1255980926 | Jamie Marie Conwell | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2019-09-05 |
| 1134512635 | Traci M Perry | Nurse Practitioner | 3745 Cherokee St Nw Ste 401, Kennesaw, GA 30144-6787 | 2015-03-09 |
| 1346680535 | Holly Stiehm Young | Nurse Practitioner | 2985 George Busbee Pkwy Nw, Kennesaw, GA 30144-6812 | 2013-07-02 |
| 1013001973 | Tanya S Wilcox | Nurse Practitioner | 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152-3938 | 2006-10-03 |
| 1306956214 | Cynthia L Burnham | Nurse Practitioner | 750 Townpark Lane, Pediatrics Health Care Team A, Kennesaw, GA 30144 | 2006-08-30 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.