Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
BAILEE REBECCA GRAVES
Complete NPI Record 1053268482
Physician Assistant in Mc Kenzie, TN
Active since March 13, 2026
Complete NPI Dataset
This page contains the complete raw NPPES record for Bailee Rebecca Graves (NPI 1053268482), an individual physician assistant provider in Mc Kenzie, TN. All 26 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1053268482 Field 1/26
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/26
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: GRAVES Field 3/26
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: BAILEE Field 4/26
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: REBECCA Field 5/26
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 158 TRENTON HWY Field 6/26
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MILAN Field 7/26
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TN Field 8/26
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 383586302 Field 9/26
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/26
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7313527907 Field 11/26
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 205A HOSPITAL DR Field 12/26
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MC KENZIE Field 13/26
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TN Field 14/26
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 382012024 Field 15/26
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/26
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 7313527907 Field 17/26
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8336903848 Field 18/26
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 21/26
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 363A00000X Field 22/26
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: TN Field 23/26
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/26
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 25/26
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 10
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
2051 US Highway 45 Byp S
Location 1/10Trenton, TN 38382-2940 · Phone (731) 393-7120 · Fax (833) 690-3848
105 N Cedar St
Location 2/10Gleason, TN 38229-7264 · Phone (731) 648-5634 · Fax (833) 690-3848
811 Morrow St Ste 207
Location 3/10Dresden, TN 38225-1847 · Phone (731) 364-4900 · Fax (833) 690-3848
1894 Cedar St
Location 4/10Mc Kenzie, TN 38201-2206 · Phone (731) 207-6496 · Fax (833) 690-3848
205C Hospital Dr
Location 5/10Mc Kenzie, TN 38201-2037 · Phone (731) 207-8560 · Fax (833) 690-3848
1731 S Meridian St
Location 6/10Greenfield, TN 38230-1827 · Phone (731) 678-0055 · Fax (731) 678-0059
205A Court Sq
Location 7/10Huntingdon, TN 38344-3710 · Phone (731) 535-5765 · Fax (833) 690-3848
175 Wildcat Ln
Location 8/10Mc Kenzie, TN 38201-2020 · Phone (731) 352-4027 · Fax (833) 690-3848
30810 Broad St
Location 9/10Bruceton, TN 38317-2028 · Phone (731) 586-4800 · Fax (833) 690-3848
306 Highway 641 N
Location 10/10Camden, TN 38320-3012 · Phone (731) 213-2344 · Fax (833) 690-3848
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