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DR. SHIRLEY GRAVENOR M.D.
NPI 1871928556
Family Medicine - Adult Medicine in Germantown, TN

Active since September 12, 2013
2636 PARK CREEK DR, GERMANTOWN, TN 38139(901) 737-7779 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shirley Gravenor M.d. NPPES

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

DR. SHIRLEY GRAVENOR M.D. (NPI 1871928556) is an individual adult medicine provider in Germantown, Tennessee, licensed in Tennessee (MD0000034785) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1871928556
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. SHIRLEY GRAVENORCredential: M.D.
Location Address2636 PARK CREEK DRGermantown, TN 38139-6556
Mailing Address2636 Park Creek DrGermantown, TN 38139-6556 · (901) 737-7779
Phone(901) 737-7779
Sole ProprietorYes
Enumeration DateSeptember 12, 2013
✔ NPI 1871928556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in TN · MD0000034785
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2636 PARK CREEK DR, Germantown, TN 38139
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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 Shirley Gravenor's NPI number?

The NPI number for Shirley Gravenor is 1871928556. It was assigned to this individual provider in the NPPES registry on September 12, 2013.

Where is Shirley Gravenor located?

Shirley Gravenor practices at 2636 Park Creek Dr, Germantown, TN 38139. The listed phone number is (901) 737-7779.

What is Shirley Gravenor's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Shirley Gravenor was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.