Charles Campbell Graffeo, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

19644 Issued in AL

Practice address

2744 Buck Island Dr.
Guntersville, AL 35976

Phone

(256) 582-5805

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1262

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.

• Marshall Medical Center North

  dba Emergency Physicians North

  • Emergency Medicine Physician
  • Guntersville, AL
  • NPI 1598997728
  Medicare reassignment NPD
• Premier Medical

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1851375885
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114012432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 BUCK ISLAND DR.",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 BUCK ISLAND DR.",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFFEO",
        "first_name": "CHARLES",
        "middle_name": "CAMPBELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "19644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS -  MMCS",
            "identifier": "51038298",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon H Glenn
• Sheila Denise Golden
• Christopher H Goodgame
• Mary Katherine Gordon, BS
• Whitney Beth Gore, CRNP
• Kelly Michelle Green, REGISTERED NURSE RN
• Tiffany Renae Green, M.S.
• Griffith Discount Drugs, Inc.
• John Grimes, CRNP
• Dustin John Grimmett, D.P.M.

• Emergency Medicine Physician in Guntersville, AL
• Providers in Guntersville, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.