Individual provider Active NPI

Foley Davis Graham, FNP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1417430893
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902903 Issued in MS
Practice address
59 Lynn LN
Starkville, MS 39759-7627
Phone
(662) 320-3990
Fax
(662) 320-3950
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902903 MS Primary

Addresses

Primary practice location

59 Lynn LN
Starkville, MS 39759-7627

Mailing address

59 Lynn LN
Starkville, MS 39759-7627
Phone (662) 320-3990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address foleydgrahamfnp@StarkvilleFamilyPractice.mdsuitedirect.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190116000841 MS Practitioner - Nurse Practitioner 9335485135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starkville Family Practice PAGroup PAC ID 2860576451, 2 clinicians

Practice addresses (Care Compare)

59 Lynn Lane
Starkville, MS 39759-7627

59 Lynn LN
Starkville, MS 39759-7627
Phone (662) 320-3990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902903MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Family Practice PA CurrentSince Oct 1, 2019 Accepting new patients

Locations

100 Brandon Rd
Ste S
Starkville, MS 39759
Phone (662) 320-3990

59 Lynn Ln
Starkville, MS 39759
Phone (662) 320-3990

Interoperability endpoints

  • Direct secure messaging: foleydgrahamfnp@starkvillefamilypractice.mdsuitedirect.com

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.

Hospital & facility affiliations 1

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1417430893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LYNN LN",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397597627",
            "telephone_number": "662-320-3990",
            "fax_number": "662-320-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LYNN LN",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397597627",
            "telephone_number": "662-320-3990",
            "fax_number": "662-320-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "FOLEY",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "foleydgrahamfnp@StarkvilleFamilyPractice.mdsuitedirect.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Messaging Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider Direct Messaging Email",
            "address_1": "59 Lynn Ln",
            "city": "Starkville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "397597627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.