GRAVES GILBERT CLINIC PLLC
NPI 1063864056
Durable Medical Equipment & Medical Supplies in Bowling Green, KY

Active since July 01, 2016CLIA Certified · 8 labs
165 NATCHEZ TRACE AVE STE 100, BOWLING GREEN, KY 42103(270) 782-7800(270) 843-0779 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 24, 2024, Sep 11, 2020, Oct 21, 2019 and 3 more (6 updates tracked since 2016).

About Graves Gilbert Clinic Pllc NPPES

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

GRAVES GILBERT CLINIC PLLC (NPI 1063864056), doing business as Graves Gilbert Clinic, is a healthcare organization registered as a durable medical equipment & medical supplies in Bowling Green, Kentucky and active in the NPI registry since July 2016. The organization holds 8 active CLIA laboratory certificates and lists Michael E Deramo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063864056
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGRAVES GILBERT CLINIC PLLC
Location Address165 NATCHEZ TRACE AVE STE 100Bowling Green, KY 42103-7947
Mailing Address201 Park StBowling Green, KY 42101-1708 · (270) 781-5111 · Fax (270) 783-0454
Fax(270) 843-0779
Organization SubpartYesParent: Ggc Health, Pllc
Authorized OfficialMichael E DeramoCeo · (270) 780-0549
Enumeration DateJuly 1, 2016
Last NPPES UpdateOctober 22, 20256 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
NPI 1063864056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in KY · HME01042
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
165 NATCHEZ TRACE AVE STE 100, Bowling Green, KY 42103

Other Names 3

Doing Business AsGraves Gilbert Clinic
Doing Business AsGraves-gilbert Clinic
Former Legal Business NameGilbert Barbee Moore & Mcilvoy Psc

CLIA Laboratory Certificates CMS CLIA 8

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 18D0692926

Graves Gilbert Clinic PLLC · Bowling Green, KY
Active · expires Mar 2, 2028
CLIA Number18D0692926
Laboratory TypeIndependent
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDr. Jacqueline M. Granese
Laboratory Phone(270) 783-0474
Laboratory LocationGraves Gilbert Clinic PLLC201 Park St, Bowling Green, KY 42101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 18D2019595

Graves Gilbert Clinic Urology Group · Bowling Green, KY
Active · expires Feb 1, 2027
CLIA Number18D2019595
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorMark E. Bigler
Laboratory Phone(270) 781-5111
Laboratory LocationGraves Gilbert Clinic Urology Group1325 Andrea Street, Bowling Green, KY 42104
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2244880

Graves-Gilbert Clinic Dermatology Department · Bowling Green, KY
Active · expires Dec 6, 2027
CLIA Number18D2244880
Laboratory TypePol
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDr. Juliana Gilbert
Laboratory Phone(270) 780-0474
Laboratory LocationGraves-Gilbert Clinic Dermatology Department1065 Ashley Street Suite 200, Bowling Green, KY 42103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D0325875

Graves Gilbert Clinic - Walk-In Care · Bowling Green, KY
Active · expires Mar 30, 2027
CLIA Number18D0325875
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorMs. Selena D. King
Laboratory Phone(270) 467-9494
Laboratory LocationGraves Gilbert Clinic - Walk-In Care1225 Fairway St, Bowling Green, KY 42103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D2107486

Graves Gilbert Clinic Family Care Center · Bowling Green, KY
Active · expires Mar 30, 2027
CLIA Number18D2107486
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorMs. Selena D. King
Laboratory Phone(270) 467-8757
Laboratory LocationGraves Gilbert Clinic Family Care Center2724 Nashville Rd, Bowling Green, KY 42101
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 18D0325864

Graves Gilbert Clinic - Prime Care · Bowling Green, KY
Active · expires Jan 31, 2027
CLIA Number18D0325864
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDr. John Gover
Laboratory Phone(270) 393-5210
Laboratory LocationGraves Gilbert Clinic - Prime Care990 Wilkinson Trace Attn Selena King, Bowling Green, KY 42103
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery
165 NATCHEZ TRACE AVE STE 100
BOWLING GREEN, KY 42103
Specialist/Technologist (Athletic Trainer)
165 NATCHEZ TRACE AVE STE 100
BOWLING GREEN, KY 42103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graves Gilbert Clinic PLLC's NPI number?

The NPI number for Graves Gilbert Clinic PLLC is 1063864056. It was assigned to this organization in the NPPES registry on July 1, 2016. The provider is doing business as Graves Gilbert Clinic and Graves-Gilbert Clinic. The provider was formerly known as Gilbert Barbee Moore & McIlvoy PSC.

Where is Graves Gilbert Clinic PLLC located?

Graves Gilbert Clinic PLLC is located at 165 Natchez Trace Ave Ste 100, Bowling Green, KY 42103. The listed phone number is (270) 782-7800.

What is Graves Gilbert Clinic PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Graves Gilbert Clinic PLLC hold CLIA laboratory certificates?

Yes. 8 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Graves Gilbert Clinic PLLC was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.