Individual provider Active NPI

Loyce J. Graham, M.D.

  • Family Medicine Physician
  • Jarrell, TX
National Provider Identifier
1265492979
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1483 Issued in TX
Practice address
181 Town Center Blvd Ste 300
Jarrell, TX 76537-4002
Phone
(512) 746-2690
Fax
(888) 254-4802
NPI assigned
Mar 25, 2006
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J1483 TX Primary

Addresses

Primary practice location

181 Town Center Blvd Ste 300
Jarrell, TX 76537-4002

Mailing address

181 Town Center Blvd Ste 300
Jarrell, TX 76537-4002
Phone (512) 746-2690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: loyce.graham@16314132004868.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1265492979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CENTER BLVD STE 300",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765374002",
            "telephone_number": "512-746-2690",
            "fax_number": "888-254-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CENTER BLVD STE 300",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765374002",
            "telephone_number": "512-746-2690",
            "fax_number": "888-254-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LOYCE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrell, TX

Sources for this page

Verify at the official NPI Registry.