MICHAEL CHRISTIAN GRAVETT (MPA) – Physician Assistant, NPI 1417056490

MICHAEL CHRISTIAN GRAVETT (MPA) is a healthcare provider. based in Carrollton, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPA. The NPI Number for MICHAEL CHRISTIAN GRAVETT (MPA) is 1417056490

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL CHRISTIAN GRAVETT (MPA)
NPI
1417056490
Phone
Not provided
Address
150 CLINIC AVE
Enumeration Date
22 September 2006
Last Update Date
17 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
2860436235
Group Practice PAC ID
7810989183
Professional Enrollment ID
I20050616000286
Address ID
GA301174402CA150XXAVEX306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MICHAEL CHRISTIAN GRAVETT (MPA)

  • 150, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States

    STE 101

    CARROLLTON, GA 301174401

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $2,444.

Total Amount is formed as General ($2,444) + Research ($0) + Ownership ($0) = $2,444.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: 4WEB, INC. ($1,605).

Total Amount

$2,444

General + Research + Ownership

Payments

57

Total payment records

General Amount

$2,444

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2005-06-16

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
I20050616000286IPhysician AssistantGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10976$0
99214Established patient office or other outpatient visit, 30-39 minutes10787$0
72100X-ray of lower and sacral spine, 2-3 views6236$0
J1040Injection, methylprednisolone acetate, 80 mg5747$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion5029$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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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: 7810989183View full group profile
NameSpecialtyState
Nurse PractitionerGA
Orthopedic SurgeryPA
Orthopedic SurgeryMS
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Nurse PractitionerGA
Orthopedic SurgeryGA
Orthopedic SurgeryMI
Orthopedic SurgeryGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for MICHAEL CHRISTIAN GRAVETT (MPA)?
The registry entry for MICHAEL CHRISTIAN GRAVETT (MPA) shows NPI 1417056490.
Is MICHAEL CHRISTIAN GRAVETT (MPA)'s NPI status active today?
Active status means MICHAEL CHRISTIAN GRAVETT (MPA)'s NPI record is not deactivated in the public file.
Which specialty label fits MICHAEL CHRISTIAN GRAVETT (MPA)?
NPPES ties MICHAEL CHRISTIAN GRAVETT (MPA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MICHAEL CHRISTIAN GRAVETT (MPA) in Carrollton, Georgia?
For routing, start with Carrollton, Georgia for MICHAEL CHRISTIAN GRAVETT (MPA), then verify phone and hours locally.
Who maintains MICHAEL CHRISTIAN GRAVETT (MPA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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