MR. GREGORY GRAVES JR. CAA
NPI 1013896745
Anesthesiologist Assistant in Hollywood, FL

Q: What is Gregory Graves's NPI number?

The NPI number for Gregory Graves is 1013896745. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Q: What is Gregory Graves's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Graves was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2025Accepts Medicare Assignment

3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 939-5000 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Gregory Graves Jr. Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY GRAVES JR. CAA (NPI 1013896745) is an individual anesthesiologist assistant in Hollywood, Florida, licensed in Florida (AA1152) and active in the NPI registry since August 2025. He is affiliated with Memorial Regional Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013896745

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. GREGORY GRAVES JR.Credential: CAA

Location Address3501 JOHNSON STHollywood, FL 33021-5421

Mailing Address4895 Shalimar Ln Apt 11102Davie, FL 33328-7168 · (321) 543-1516

Phone(954) 939-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 27, 2025

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1013896745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA1152

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3501 JOHNSON ST, Hollywood, FL 33021

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Gregory Graves Jr. Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608366232

PECOS Enrollment IDI20251103003475

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100038

Location3501 Johnson StHollywood, FL 33021 · Broward County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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