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MR. GLEN ROBERT GRAVES M.D.
NPI 1407883234
Pediatrics - Neonatal-Perinatal Medicine in Jackson, MS

Active since June 27, 2006
2500 N STATE ST, JACKSON, MS 39216(601) 815-7100 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Glen Robert Graves M.d. NPPES

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

MR. GLEN ROBERT GRAVES M.D. (NPI 1407883234) is an individual neonatal-perinatal medicine provider in Jackson, Mississippi, licensed in Mississippi (05989) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1407883234
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameMR. GLEN ROBERT GRAVESCredential: M.D.
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-7100
Phone(601) 815-7100
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJune 27, 2012
✔ NPI 1407883234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MS · 05989
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2500 N STATE ST, Jackson, MS 39216
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Other Identifiers 4

Medicaid00017226MS
Medicare PIN302I375122MS
Medicare PIN512I370085MS
Medicaid1969265LA

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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Glen Graves's NPI number?

The NPI number for Glen Graves is 1407883234. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Glen Graves located?

Glen Graves practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-7100.

What is Glen Graves's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Glen Graves was last updated on June 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.