Individual provider Active NPI

William McLaurin Graham, M.D.

  • Pediatrics Physician
  • Charleston, SC
National Provider Identifier
1316913072
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18368 Issued in SC
Practice address
2051 Charlie Hall Blvd
Charleston, SC 29414-5834
Phone
(843) 573-2535
Fax
(843) 573-2534
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 18368 SC Primary

Addresses

Primary practice location

2051 Charlie Hall Blvd
Charleston, SC 29414-5834

Mailing address

2051 Charlie Hall Blvd
Chas, SC 29414-5879
Phone (843) 573-2535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20050920000767 SC Practitioner - Pediatric Medicine 9234163288 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pediatric Associates, P.a. Pediatrics CurrentSince Apr 1, 2021 Accepting new patients

Locations

2051 Charlie Hall Blvd
Charleston, SC 29414
Phone (843) 573-2535

1952 Long Grove Dr
Ste 202
Mt Pleasant, SC 29464
Phone (843) 573-2535

4975 Lacross Rd
Ste 158
North Charleston, SC 29406

2015 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 573-2535

Organizations & group practices 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1316913072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHAS",
            "state": "SC",
            "postal_code": "294145879",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145834",
            "telephone_number": "843-573-2535",
            "fax_number": "843-573-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "WILLIAM",
        "middle_name": "MCLAURIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.