Organization Active NPI

Graham Family Medicine LLC

  • Family Medicine Physician
  • Sayre, OK
National Provider Identifier
1033474085
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAHAM FAMILY MEDICINE LLC
Practice address
1002 NE Highway 66 Ste 2
Sayre, OK 73662-9312
Phone
(580) 928-2208
Fax
(580) 209-4633
NPI assigned
Jul 5, 2012
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randy Kerr
Title
VP of Operations
Phone
(405) 873-8268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OK Primary

Addresses

Primary practice location

1002 NE Highway 66 Ste 2
Sayre, OK 73662-9312

Mailing address

PO Box 640230
Dallas, TX 75264-0230
Phone (405) 873-8291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000811 OK Part B Supplier - Clinic/Group Practice 2769639780 Receives reassigned benefits from 4 practitioners
Practice locations: Sayre, OK

National Provider Directory

National Provider Directory

Locations

1002 NE Highway 66
Ste 2
Sayre, OK 73662
Phone (580) 928-2208

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16921/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1033474085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752640230",
            "telephone_number": "405-873-8291",
            "fax_number": "580-209-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 NE HIGHWAY 66 STE 2",
            "city": "SAYRE",
            "state": "OK",
            "postal_code": "736629312",
            "telephone_number": "580-928-2208",
            "fax_number": "580-209-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "405-873-8268"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.