JUSTIN WAYNE GRAVES (LCSW) – Mental Health Counselor, NPI 1821596917

JUSTIN WAYNE GRAVES (LCSW) is a healthcare provider. based in Moultrie, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW005842 (GA). The NPI Number for JUSTIN WAYNE GRAVES (LCSW) is 1821596917

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN WAYNE GRAVES (LCSW)
NPI
1821596917
Phone
(229) 873-6491
Address
1015 West Blvd
Enumeration Date
24 January 2018
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2298919443
Graduation Year
2012 (14 years ago)
PAC ID
9638570633
Group Practice PAC ID
4981012655
Professional Enrollment ID
I20210629000411
Address ID
GA317686925MO3131XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,058 CLINICAL SOCIAL WORKER in GA

Provider Addresses for JUSTIN WAYNE GRAVES (LCSW)

  • 1015 West Blvd

    Moultrie, GA 317684232

    Phone: (229) 873-6491

    Type: Location

  • PO BOX 2876

    MOULTRIE, GA 317762876

    Phone: (229) 891-9131

    Type: Mailing

  • 1015, West Boulevard, Riverside, Moultrie, Colquitt County, Georgia, 31768, United States

    MOULTRIE, GA 317684232

    Phone: (229) 873-6491

    Type: Mailing

  • 3131 S MAIN ST

    MOULTRIE, GA 317686925

    Phone: (229) 891-9443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-29

PECOS data refreshed: 2026-06-15

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
I20210629000411IClinical Social WorkerGATBD

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
90834Psychotherapy, 45 minutes4611$0
90791Psychiatric diagnostic evaluation1717$0
View full utilization report →

Insurance plans in this area (ZIP 31768)

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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: 4981012655View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
N E U R O L O G YGA
Clinical Social WorkerGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

Can I verify JUSTIN WAYNE GRAVES (LCSW) with an NPI only?
You can start verification with NPI 1821596917 for JUSTIN WAYNE GRAVES (LCSW), then check state licensing separately.
Does CMS list JUSTIN WAYNE GRAVES (LCSW) as active?
Yes — JUSTIN WAYNE GRAVES (LCSW) is active in the NPI listing used on this page.
What is JUSTIN WAYNE GRAVES (LCSW)'s primary classification?
Mental Health Counselor is the headline specialty for JUSTIN WAYNE GRAVES (LCSW) here. Clinical services aligned with this taxonomy classification.
Does JUSTIN WAYNE GRAVES (LCSW) list a practice location?
Patients near Moultrie, Georgia may find JUSTIN WAYNE GRAVES (LCSW) in results; validate coverage separately.
Why does JUSTIN WAYNE GRAVES (LCSW) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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