ANITRA SIMONE GRAVES


Address: 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257
Phone: 6784932527

ANITRA SIMONE GRAVES (NPI# 1285669739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285669739
Entity Type Individual
Full Name ANITRA SIMONE GRAVES
Credential M.D.
Practice Address 15 Reinhardt College Pkwy
Suite 108
Canton
GA 30114-5257
Practice Telephone 6784932527
Practice Fax Number 6784925608
Mailing Telephone 6784932527
Mailing Fax Number 6784935608
Enumeration Date 2006-07-12
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 49799 GA Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
01078528A IN Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
049799 GA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
049799 GA Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
49799 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 289374423A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
85 E Us Highway 6, Valparaiso, IN 463838947 2199838300 2194651749

Office Location

Street Address 15 REINHARDT COLLEGE PKWY
SUITE 108
City CANTON
State GA
Zip Code 30114-5257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154329928 Kirk B Laman Internal Medicine 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 2005-07-14
1710285226 Resurgens, PC Orthopaedic Surgery 15 Reinhardt College Pkwy, Suite 102, Canton, GA 30114-5257 2011-03-08
1710159488 Madiha Iqbal Khan Internal Medicine 15 Reinhardt College Pkwy, Suite 109, Canton, GA 30114 2008-04-02
1992833941 Northwest Georgia Oncology Centers, PC Durable Medical Equipment & Medical Supplies 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-2493 2007-03-01
1154336717 Edward Dyckman Internal Medicine 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 2006-07-30
1659320224 Cherokee Lung & Sleep Specialists, P.C. Internal Medicine 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 2006-05-09
1962467860 Sheldon Scott Physical Therapist 15 Reinhardt College Pkwy, Suite 102, Canton, GA 30114-5257 2006-04-20
1689635161 Khizer Khurshid Ahmad Pediatrics 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 2006-04-01
1538120092 Fitzroy Henry Graham Pediatrics 15 Reinhardt College Pkwy, Bldg 100 Suite 100, Canton, GA 30114 2006-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619516093 Wickshire Canton Opco LLC Assisted Living Facility 125 Riverstone Terrace, Canton, GA 30114 2020-01-02
1154803583 Alixandra Nicole Flournoy Physical Therapist 131 Holly Street, Canton, GA 30114 2018-09-01
1588157341 Provident Group - Canton Cove Properties LLC Alzheimer Center (Dementia Center) 1100 Reinhardt College Parkway, Canton, GA 30114 2018-06-07
1003233107 Heartland Dental Care of Georgia Dentist 3237 Sixes Rd, Canton, GA 30114 2014-03-26
1730510959 Joseph Optical Eyewear Supplier (Equipment, not the service) 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 2013-12-13
1629313036 Ramona Morton Rasmussen Occupational Therapist 200 Riverstone Drive, Suite B, Canton, GA 30114 2012-12-11
1902154875 Yong Qiao Luo Acupuncturist 200 Oakside Lane, Suite D, Canton, GA 30114 2012-08-26
1215294350 Christina Lynn Hernandez Pediatrics 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 2012-04-13
1558638981 Stephen E Byrd Counselor 191 Lamar Haley Pkwy., Canton, GA 30114 2011-11-30
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306990676 M Hazem Raslan Md PC Internal Medicine 6300 N Haggerty Rd, Suite 210, Canton, MI 48187-3568 2007-01-23
1447230669 Lyle Victor Internal Medicine 42180 Ford Rd Ste 201, Canton, MI 48187-3676 2006-01-23
1831415157 Spencer Michael Lee Internal Medicine 460 Northside Cherokee Blvd, Ste 130, Canton, GA 30115 2010-04-12
1164600623 Akhil Vallabhaneni Internal Medicine 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 2008-02-07
1023223260 Craig Neale Rosebrock Internal Medicine 201 Hospital Rd, Appartment Uu1, Canton, GA 30114-2408 2007-05-11
1669581799 John T Given Md Inc Internal Medicine 4048 Dressler Rd Nw, Suite 100, Canton, OH 44718-2784 2006-08-30
1730122912 Jill Denise Rossrucker Internal Medicine 320 Hospital Rd, Canton, GA 30114-2410 2006-06-14
1659320224 Cherokee Lung & Sleep Specialists, P.C. Internal Medicine 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 2006-05-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194337592 Stefan Vincent Goldberg Internal Medicine 3239 Bolero Dr, Atlanta, GA 30341-5705 2020-08-18
1366064164 Southeast Lung & Critical Care Specialists Internal Medicine 1745 City Circle Rd, Baxley, GA 31513-7059 2020-05-14
1205474954 Tift Regional Health System, Inc Internal Medicine 1499 Kennedy Road, Suite A, Tifton, GA 31794-4177 2019-12-12
1659845790 Frank J Demarco Jr Md LLC Internal Medicine 4465 Nelson Brogdon Blvd, Buford, GA 30518-3487 2019-01-11
1063915338 Trident Pulmonary and Critical Care PC Internal Medicine 483 Upper Riverdale Rd Sw Ste E, Riverdale, GA 30274-2579 2018-03-13
1194235853 Covenant Medical Group LLC Internal Medicine 3605 Sandy Plains Rd Ste 240-235, Marietta, GA 30066-3068 2017-10-09
1235659814 Southeast Lung & Criticial Care Specialists, PC Internal Medicine 5356 Reynolds St Ste 303, Savannah, GA 31405-6018 2017-06-23
1619355427 Southeast Lung & Critical Care Specialists, PC. Internal Medicine 400 Cedar St Ste 106, Candler County Hospital, Metter, GA 30439-3338 2015-05-13
1770989154 Southeast Lung & Critical Care Specialists, PC Internal Medicine 800 East 68th Street, Landmark Hospital, Savannah, GA 31405 2014-11-12
1407267511 Akshay Bhatnagar Internal Medicine 2301 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265-2576 2014-05-12
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Competitor

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City CANTON
Zip Code 30114

Improve Information

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Dataset Information

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.

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