MEDICARE: KENYETTA GRAVES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1851191415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYETTA GRAVES

Provider Business Mailing Address
First Line	:	75 RIVER NORTH CT
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30016-3344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 RIVER NORTH CT
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30016-3344
Country	:	US
Telephone Number	:	678-933-8586
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2025
Last Update Date	:	03/13/2025

Similar Medicare Providers

1407701675 — VDS HOME HEALTH CARE LLC
Practice Location Address:

95 STONE RIDGE WAY
COVINGTON, GA
30016-6923

Practice Phone: 943-206-8269
Practice Fax:

1558217356 — REIGN INTEGRATED HEALTHCARE
Practice Location Address:

386 JACK NEELY RD
COVINGTON, GA
30016-1815

Practice Phone: 757-515-4648
Practice Fax:

1275537920 — TAREK A NESSOULI MD
Practice Location Address:

3211 IRIS DRIVE
COVINGTON, GA
30016

Practice Phone: 770-787-4042
Practice Fax: 770-787-4001

1124014592 — MR. WILLIE EVERETT STILL JR. R. PH.
Practice Location Address:

40 CAMERONS WAY
COVINGTON, GA
30016-1160

Practice Phone: 678-232-5665
Practice Fax:

1588651137 — DR. ROBERT T. GREENFIELD M.D.
Practice Location Address:

3211 IRIS DR
COVINGTON, GA
30016-0907

Practice Phone: 770-787-4042
Practice Fax: 770-787-4001

1508821976 — STEVEN H. SPEELER PT
Practice Location Address:

3211 IRIS DR
COVINGTON, GA
30016-0907

Practice Phone: 770-787-2950
Practice Fax: 770-781-3830

Directions to “ KENYETTA GRAVES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.