Individual provider Active NPI

James William Graybill III, MD

  • Emergency Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1255447728
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME97747 Issued in FL
Practice address
3202 Alternate 19
Palm Harbor, FL 34683
Phone
(727) 785-0375
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01079292A IN
Personal Emergency Response Attendant 146D00000X 21971 WV
Public Health & General Preventive Medicine Physician 2083P0901X FLME 97747 FL
Emergency Medicine Physician 207P00000X ME97747 FL Primary

Addresses

Primary practice location

3202 Alternate 19
Palm Harbor, FL 34683

Mailing address

PO Box 1123
Crystal Beach, FL 34681-1123
Phone (727) 415-9535

Other identifiers 4

IdentifierTypeStateIssuer
000000383743OtherANTHEM
94357OtherFLBCBS OF FLORIDA
10196OtherPARAMOUNT
277986200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070621000581 FL Practitioner - Emergency MedicinePractitioner - Anesthesiology 5496773459 Reassigns benefits to 2 organizations
I20171019001996 IN Practitioner - Emergency Medicine 5496773459 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
FLME 97747FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Jun 25, 2016 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Sarasota Emergency Associates PA Emergency Medicine Past Accepting new patients
Palms of Pasadena Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Norwalk Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Northport Emergency Associates, PA Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients
Osprey Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: jgraybil@yourcarecommunity.org

Organizations & group practices 11

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1255447728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1123",
            "city": "CRYSTAL BEACH",
            "state": "FL",
            "postal_code": "346811123",
            "telephone_number": "727-415-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 ALTERNATE 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-785-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01079292A",
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "WV",
            "license": "21971",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "FLME 97747",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME97747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000383743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "94357",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "10196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277986200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.