Individual provider Active NPI

Jason Paul Graber, D.O.

  • Emergency Medicine Physician
  • Elkhart, IN
National Provider Identifier
1336460732
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34010485 Issued in OH
Practice address
600 East Blvd
Elkhart, IN 46514-2483
Phone
(574) 523-3160
NPI assigned
Jun 20, 2010
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Emergency Medicine Physician 207P00000X 34010485 OH Primary
Emergency Medicine Physician 207P00000X 73083 GA

Addresses

Primary practice location

600 East Blvd
Elkhart, IN 46514-2483

Mailing address

PO Box 1241
South Bend, IN 46624-1241
Phone (885) 691-9888

Other practice location 1

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-6105

Other identifiers 2

IdentifierTypeStateIssuer
000000825917OtherINANTHEM
201183810MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN, VA, KY, AR, GA, NC7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20120810000619 OH Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 1 organization
I20150304001628 TN Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 3 organizations
I20150728004538 VA Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 1 organization
I20160412002125 KY Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 1 organization
I20190211000158 AR Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 1 organization
I20190815002268 GA Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 4 organizations
I20250808000393 NC Practitioner - Emergency Medicine 4183870819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1360 S Main St
Ellijay, GA 30540-5410
Phone (706) 635-5111

1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283

1808 W Main St
Russellville, AR 72801-2724
Phone (501) 968-2841

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 476-2621

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73083GAMDEmergency Medicine Physician
34010485OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of Ohio, Inc Emergency Medicine CurrentSince Nov 18, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Nov 5, 2014 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 2, 2015 Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2024 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Riverwood Emergency Services Inc. Emergency Medicine Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Noes/Paulding, LTD Emergency Medicine Past Accepting new patients
Erie Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
Elite Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

Interoperability endpoints

  • Direct secure messaging: jgraber1@yourcarecommunity.org

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1336460732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466241241",
            "telephone_number": "885-691-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BLVD",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142483",
            "telephone_number": "574-523-3160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096521",
            "country_code": "US",
            "telephone_number": "706-651-6105",
            "fax_number": "706-868-1041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABER",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-20",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34010485",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "73083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000825917",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201183810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.