Justin C. Graff, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

15750 Issued in MS

Practice address

609 Brunson Dr
Tupelo, MS 38801-4948

Phone

(662) 844-7021

Fax

(662) 842-5207

NPI assigned

Aug 23, 2005

Last updated

Dec 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

University of Iowa, RJ & L Carver College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emg Clinics of Tennessee, PLLCGroup PAC ID 4981647641, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emg Clinics of Tennessee PLLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
  • NPI 1962597492

  MS

  Medicare reassignment Care Compare group
• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Neurology

  Medicare reassignment NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center Inc

  dba North Mississippi Plastic Surgery

  • Plastic Surgery Physician
  • Tupelo, MS
  • NPI 1013650431
  NPD
• North Mississippi Medical Clinics Inc

  dba The Women's Group West Point

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1427041664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014948",
            "telephone_number": "662-844-7021",
            "fax_number": "662-842-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BRUNSON DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014948",
            "telephone_number": "662-844-7021",
            "fax_number": "662-842-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "JUSTIN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "15750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119381",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Faye Goss, FNP-C
• Judith Ann Govatos, RN
• Mary Cecille Goysich, PSY.D.
• Grace Abounds Home Care
• Gracie PLLC (Eye Care Associates)
• Taylor Craven Graham, OTA
• Tracy Graham, O.T.
• Victoria Ester Graham, DMD
• Grant Family Medical LLC
• Dana Grant, NP-C

• Neurology Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Neurology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.