Mr. Glen Robert Graves, M.D.
Mr. Glen Robert Graves is a Neonatal-Perinatal Medicine Physician provider (Pediatrics) practicing in Jackson, MS, registered in the NPPES registry with NPI 1407883234 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1407883234 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Glen Robert Graves |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2500 N STATE ST, Jackson, MS, 39216 |
| Phone | 6018157100 |
| Enumeration date | 2006-06-27 |
| Last updated in NPPES | 2012-06-27 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2080N0001X | Neonatal-Perinatal Medicine Physician | Primary | 05989 | MS |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1969265 | Medicaid | LA | — |
| 00017226 | Medicaid | MS | — |
Copy-ready billing details
Provider: Glen Graves, M.D. NPI: 1407883234 Taxonomy: 2080N0001X (Neonatal-Perinatal Medicine Physician) Address: 2500 N STATE ST, Jackson, MS, 39216
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740107523 | Sreenija Yarlagadda | Individual | Radiation Oncology Physician | Jackson, MS |
| 1528985207 | William Jones | Individual | Student in an Organized Health Care Education/Training Program | Jackson, MS |
| 1477556231 | University Ophthalmology Associates | Organization | Ophthalmology Physician | Jackson, MS |
| 1629072509 | George Russell | Individual | Orthopaedic Trauma Physician | Jackson, MS |
| 1285639955 | Lori Reed | Individual | Orthopaedic Foot and Ankle Surgery Physician | Jackson, MS |
| 1770580961 | Brian Crabtree | Individual | Psychiatric Pharmacist | Jackson, MS |
| 1033117445 | Jack Lewin | Individual | Anatomic Pathology Physician | Jackson, MS |
| 1245230887 | Robin Christian | Individual | Family Nurse Practitioner | Jackson, MS |
Verify this record
Cross-check NPI 1407883234 against the authoritative CMS record: view Mr. Glen Robert Graves on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Glen Graves?
Where does Glen Graves practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-27.