Casey Anne Graham, CRNP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Smyrna, TN
NPI 1336314152 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1336314152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- 33235 (TN)
- Practice address
- 300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801 - Phone
- (629) 206-6858
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diana Health TN, PC
Practice addresses (Care Compare)
300 Stonecrest Blvd
Suite 310
Smyrna, TN 37167-6801
Phone (629) 206-6858
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118003788 | TN | Practitioner - Nurse Practitioner | 5193009306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33235 | TN | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health TN, PC | Current |
Accepting new patients | |
| Brookwood Primary Care - Inverness, L.L.C. | Past | Accepting new patients |
Locations
317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527
300 Stonecrest Blvd
Ste 360
Smyrna, TN 37167
Phone (615) 223-9935
300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858
300 Stonecrest Blvd
Ste 330
Smyrna, TN 37167
Phone (615) 223-0416
Interoperability endpoints
- casey.graham.1@23211.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 33235 | TN | Yes |
Addresses
Primary practice location
300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Mailing address
300 Stonecrest Blvd Ste 310
Smyrna, TN 37167-6801
Phone (205) 306-3427
Other providers in Smyrna, TN
- Frankie Goolsby
- Jennifer L Gordon-Maloney
- Lisa Marie Gortz
- Abigail Nicole Gosik
- Grace Pediatrics PLLC
- Sarah Graham
- Bonnie Rhodes Granahan
- Elizabeth Grant
- Alivia Graves
- Emilia Margarita Gravina
All providers in Smyrna, TN · Obstetrics & Gynecology Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.