Active NPI
Savannah Graham
- Case Manager/Care Coordinator
- Blytheville, AR
National Provider Identifier
1063826261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 829 E Main St
Blytheville, AR 72315-2521 - Phone
- (870) 780-6986
- Fax
- (870) 780-6987
- NPI assigned
- Jun 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
829 E Main St
Blytheville, AR 72315-2521
Mailing address
829 E Main St
Blytheville, AR 72315-2521
Phone (870) 780-6986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxus Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402876800000",
"number": "1063826261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 E MAIN ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152521",
"telephone_number": "870-780-6986",
"fax_number": "870-780-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 E MAIN ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152521",
"telephone_number": "870-780-6986",
"fax_number": "870-780-6987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "SAVANNAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2014-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
- Mandrea Jeanette Godsey, BSCD MHPP
- Tameka Golden, MHPP
- Jennifer A Gomez
- Sandra Generalao Gonzales, P.T.
- Lori Goodson
- Great River Medical Center
- Great River Medical Center LLC (Great River Family Clinic)
- Great River Medical Center LLC
- Great River Medical Center LLC (Great River Family Clinic)
- Great River Medical Center LLC (Great River Anesthesia Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.