John R Graham, MD1

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

16656 Issued in SC

Practice address

22725 Highway 76 E
Clinton, SC 29325-7527

Phone

(864) 833-9440

NPI assigned

Mar 1, 2007

Last updated

Oct 9, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bamberg County Memorial Hospital

  • Rural Acute Care Hospital
  • Bamberg, SC
  • NPI 1124051834
  NPD (past)
• Mary Black Health System LLC

  dba Peachview Radiology Center

  • Diagnostic Radiology Physician
  • Gaffney, SC
  • NPI 1609983287
  NPD (past)
• Mary Black Health System LLC

  dba Mary Black Health System Spartanburg

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1992758296
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1235267477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22725 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257527",
            "telephone_number": "864-833-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "MD1",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "16656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendell D Glenn, MSW
• Will Godfrey, PA-C
• Georges P. Godfrin, NP
• Colleen Diane Goff, LPC
• John Gordon, PT
• Karen Green
• Greenville Health System (GHS Emergency Services of Laurens County)
• Greenville Health System (GHS Laurens County Memorial Hospital)
• Greenville Health System (GHS Laurens County Anesthesia)
• Greenville Health System (GHS Cancer Inst - Laurens)

• Diagnostic Radiology Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.