MARK L GRAVLEE (M.D.) – Surgery Physician, NPI 1306942115

MARK L GRAVLEE (M.D.) is a healthcare provider. based in Roswell, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 034355 (GA). The NPI Number for MARK L GRAVLEE (M.D.) is 1306942115

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MARK L GRAVLEE (M.D.)
NPI
1306942115
Phone
(470) 956-4560
Address
2500 HOSPITAL BLVD STE 290
Enumeration Date
16 September 2006
Last Update Date
14 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
1986 (40 years ago)
PAC ID
3678580727
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20060314000542
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
mgravlee123251@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,092 GENERAL SURGERY in GA

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Provider Addresses for MARK L GRAVLEE (M.D.)

  • Hospital Boulevard, Roswell, Fulton, Georgia, 30009, United States

    ROSWELL, GA 300764918

    Phone: (470) 956-4560

    Fax: (770) 475-8968

    Type: Mailing

  • 2500, Hospital Boulevard, Roswell, Fulton County, Georgia, 30076, United States

    SUITE 420

    ROSWELL, GA 300764919

    Phone: (770) 410-4661

    Fax: (770) 410-4664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Kerecis Limited ($150).

Total Amount

$514

General + Research + Ownership

Payments

8

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060314000542IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1715$0
View full utilization report →

Insurance plans in this area (ZIP 30076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for MARK L GRAVLEE (M.D.) in U.S. healthcare records?
The official identifier for MARK L GRAVLEE (M.D.) is NPI 1306942115.
Is MARK L GRAVLEE (M.D.) shown as active in public data?
Registry records indicate MARK L GRAVLEE (M.D.) maintains an active NPI.
What kind of doctor is MARK L GRAVLEE (M.D.)?
MARK L GRAVLEE (M.D.) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MARK L GRAVLEE (M.D.) associated with Roswell?
Public fields place MARK L GRAVLEE (M.D.) around Roswell, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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