Beverly Denise Graham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN130303 Issued in GA

Practice address

708 S Grant St Ste 15
Fitzgerald, GA 31750-5707

Phone

(912) 309-3338

Fax

(229) 345-8290

NPI assigned

Nov 21, 2017

Last updated

Aug 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDCEBD
• FHIR API: https://fhir4.healow.com/fhir/r4/IHADDD/Endpoint/IHADDD

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.

• Ben Hill Family Medicine

  • Primary Care Clinic/Center
  • Fitzgerald, GA
  • NPI 1184492878
  Medicare reassignment NPD Authorized official
• Integrity Health and Wellness, LLC

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1881181808
  Medicare reassignment NPD
• Integrity Long Term Care LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Waycross, GA
  • NPI 1376268177
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1316451735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 CROMWELL CIR",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315357411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S GRANT ST STE 15",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317505707",
            "telephone_number": "912-309-3338",
            "fax_number": "229-345-8290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ocilla Rd",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315332207",
            "country_code": "US",
            "telephone_number": "912-384-1900 x5571",
            "fax_number": "912-389-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BEVERLY",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN130303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Oxygen Home Health
• Georgia Oxygen Pharmacy
• Kenneth Andrew Gilbert, D.D.S.
• Robin Alisha Glover, PHARMD
• Alicia Gordon, LCSW
• Thomas A Green, D.C.
• Jeanie Harper
• Martha Harrell, RN
• Cali Michelle Hart, RSH, BSDH
• Hillary D Heitzman, OTR/L

• Family Nurse Practitioner in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.