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

NPI Status: Active since July 01, 2016

Contact Information

165 NATCHEZ TRACE AVE STE 100
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 782-7800
Fax: (270) 843-0779

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 18D2081282
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-15-2027

About GRAVES GILBERT CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Graves Gilbert Clinic Pllc, a provider established in Bowling Green, Kentucky operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1063864056 assigned on July 2016. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Michael E Deramo Dha (Ceo)

NPI
1063864056
Provider Legal Name
GRAVES GILBERT CLINIC PLLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
165 NATCHEZ TRACE AVE STE 100 BOWLING GREEN, KY 42103
Location Phone
(270) 782-7800
Location Fax
(270) 843-0779
Mailing Address
201 PARK ST BOWLING GREEN, KY 42101
Mailing Phone
(270) 781-5111
Mailing Fax
(270) 843-0779
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-01-2016
Last Update Date
10-22-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

HME01042 (KY)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL E DERAMO DHA

Authorized Official Title
CEO
Authorized Official Phone
(270) 780-0549

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
18D2081282
Facility Type
Independent
Certificate Effective Date
January 16, 2025
Certificate Expiration Date
January 15, 2027
Laboratory Director
DR. JACQUELINE GRANESE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Graves Gilbert Clinic Pllc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063864056, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 6 + 6 + 8 + 0 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1063864056.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063864056, enumerated as an "organization" on July 01, 2016.

The provider is located at 165 NATCHEZ TRACE AVE STE 100 BOWLING GREEN, KY 42103 and the phone number is (270) 782-7800.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.