David Graham, RN, MSN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-129274 Issued in AL

Practice address

5911 Monticello Dr
Montgomery, AL 36117-1940

Phone

(443) 902-8816

NPI assigned

Sep 13, 2007

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, ME, NV3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Veterans Wellness Center of Alabama LLCGroup PAC ID 3072935782, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Veterans Wellness Center of Alabama LLC

  • Urgent Care Clinic/Center
  • Montgomery, AL
  • NPI 1568005056
  Medicare reassignment Care Compare group Authorized official
• Trifecta Healthcare Services, LLC.

  dba Veterans Wellness Center of Florida

  • Pain Clinic/Center
  • Montgomery, AL
  • NPI 1255086583
  NPD
• Vaughan Physician Practices LLC

  dba Vaughan Medical Specialty Associates

  • Cardiovascular Disease Physician
  • Selma, AL
  • NPI 1346679248
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1053506899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240132",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361240132",
            "telephone_number": "443-902-8816",
            "fax_number": "334-323-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 MONTICELLO DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361171940",
            "telephone_number": "443-902-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAVID",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-129274",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11001771",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-129274",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "T20071316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Circle, LLC (The Grace Circle)
• Grace Point Behavioral LLC
• Grace Therapy Solutions LLC
• Haley Beth Grace, R.D, L.D
• Graceful Journeys Counseling & Consulting LLC
• Jasmine Graham, BSHA, CFM
• Kimberly Ashley Graham, PHARMD
• Leigh Harris Graham
• Tiffany Gramatzki, PHARMD
• Charmane Grant

• Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.