CHARLES GRAVELY PA
NPI 1235307307
Physician Assistant - Medical in Dallas, TX
NPI Status: Active since February 12, 2008
Contact Information
11910 GREENVILLE AVE
SUITE 500
DALLAS, TX
ZIP 75243
Phone: (214) 572-1124
Fax: (214) 572-7724
- Individual
- Male
- Physician Assistant
- Medical
- Accepts Insurance
- PECOS Enrolled
About CHARLES GRAVELY
This page provides the complete NPI Profile along with additional information for Charles Gravely, a primary care provider established in Dallas, Texas with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1235307307 assigned on February 2008. The practitioner's primary taxonomy code is 363AM0700X with license number PA02247 (TX). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1235307307
- Provider Name
- CHARLES GRAVELY PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243
- Location Phone
- (214) 572-1124
- Location Fax
- (214) 572-7724
- Mailing Address
- 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243
- Mailing Phone
- (214) 572-1124
- Mailing Fax
- (214) 572-7724
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-12-2008
- Last Update Date
- 02-15-2012
- Code Navigator
A primary care provider (PCP) like Charles Gravely sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA02247
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Charles Gravely is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 0 | 7 | 3 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 0 | 14 | 3 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 0 + 1 + 4 + 3 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1235307307 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427053040 | DR. HEDLEY RAKUSIN Individual | Dentist (Endodontics) | 11910 GREENVILLE AVE STE 110 DALLAS, TX 75243 (972) 644-1162 |
| 1316910516 | DEEPALAKSHMI RAJAKRISHNAN MD Individual | Family Medicine | 11910 GREENVILLE AVE 500 DALLAS, TX 75243 (214) 572-1124 |
| 1457434615 | DR. THOMAS H. GARRETT DDS Individual | Dentist (Endodontics) | 11910 GREENVILLE AVE SUITE 110 DALLAS, TX 75243 (972) 644-1162 |
| 1073681094 | ALBERT M JOWID D.D.S. Individual | Dentist (Endodontics) | 11910 GREENVILLE AVE SUITE 110 DALLAS, TX 75243 (972) 644-1162 |
| 1265578165 | DR. HEMA HARIDAS M.D. Individual | Family Medicine | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (217) 572-1124 |
| 1275745978 | BINTAY JAFRI MD Individual | Family Medicine | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (214) 572-1124 |
| 1093922627 | RAQUEL LOPEZ PT Individual | Physical Therapist | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (214) 572-1124 |
| 1285967174 | KATHRYN BRANCH ENP Individual | Nurse Practitioner | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (214) 572-1124 |
| 1528329307 | SMITH FAMILY DENTISTRY PA Organization | Dentist | 11910 GREENVILLE AVE SUITE 110 DALLAS, TX 75243 (214) 503-6776 |
| 1659612752 | MS. SHANA FAKKEL PA Individual | Physician Assistant (Medical) | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (214) 572-1124 |
| 1386606176 | NADIA PAMELA WHITEAKER CRNA Individual | Nurse Anesthetist, Certified Registered | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1003121112 | MS. AMBREEN FEROZ ALI NADEEM PA-C Individual | Physician Assistant | 11910 GREENVILLE AVE 500 DALLAS, TX 75243 (214) 343-0058 |
| 1104857309 | CHRISTINE L HART CRNA Individual | Nurse Anesthetist, Certified Registered | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1306180096 | MR. BENJAMIN SCOTT SCARBRO CRNA Individual | Nurse Anesthetist, Certified Registered | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1396949996 | DR. JENNIFER LEIGH BRANDENBERGER MD Individual | Anesthesiology | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1477808897 | KATHERINE M. FLOYD CRNA Individual | Nurse Anesthetist, Certified Registered | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1902954472 | DALLAS ENDODONTICS, P.A. Organization | Dentist (Endodontics) | 11910 GREENVILLE AVE SUITE 450 DALLAS, TX 75243 (972) 644-1162 |
| 1578627345 | RICARDO RUBEN IRIZARRY M.D. Individual | Anesthesiology | 11910 GREENVILLE AVE SUITE 650 DALLAS, TX 75243 (214) 373-9092 |
| 1538248182 | SEEMA GHAFFAR MD Individual | Family Medicine | 11910 GREENVILLE AVE SUITE 500 DALLAS, TX 75243 (214) 572-1124 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235307307, enumerated in the NPI registry as an "individual" on February 12, 2008
The provider is located at 11910 Greenville Ave Suite 500 Dallas, Tx 75243 and the phone number is (214) 572-1124
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on February 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.