NPIMap

Individual provider Active NPI

Joseph Mark Graham, DO

  • Orthopaedic Surgery Physician
  • St Augustine, FL
National Provider Identifier
1437359056
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS11534 Issued in FL
Practice address
120 Health Park Blvd
St Augustine, FL 32086-3701
Phone
(888) 481-2135
Fax
(386) 627-7319
NPI assigned
Jul 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X OS11534 FL
Orthopaedic Surgery Physician 207X00000X OS11534 FL Primary

Addresses

Primary practice location

120 Health Park Blvd
St Augustine, FL 32086-3701

Mailing address

PO Box 112727
Gainesville, FL 32611-2727
Phone (352) 273-7002

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-7407
Phone (352) 265-8336

Other practice location 2

145 City Pl
Palm Coast, FL 32164-2479
Phone (888) 481-2135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000588 FL Practitioner - Orthopedic Surgery 0749444313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

120 Health Park Blvd
Suite 1
Saint Augustine, FL 32086-5798
Phone (888) 481-2135

1200 Lexington Green LN
Sanford, FL 32771-1013

145 City PL
Suite 201
Palm Coast, FL 32164-2480
Phone (888) 481-2135

351 Town Plaza Ave
Ponte Vedra, FL 32081-5179

400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion159
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5312OKMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Feb 10, 2022 Accepting new patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Apr 17, 2025 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Feb 10, 2022 Accepting new patients
Villages Regional Hospital Physician Services LLC Orthopaedic Surgery CurrentSince May 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc Orthopaedic Surgery CurrentSince Apr 17, 2025 Accepting new patients
Integrity Spine and Orthopedics LLC Orthopaedic Surgery CurrentSince Mar 3, 2024 Accepting new patients
Flagler Professional Health Care Services, Inc. Orthopaedic Surgery Past Accepting new patients
Orthopaedic Specialists of the Four States LLC Past Accepting new patients

Locations

4565 US Highway 17
Ste 200
Fleming Island, FL 32003
Phone (904) 630-0640

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216

10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014

14785 Old St Augustine Rd
Ste 100
Jacksonville, FL 32258
Phone (904) 292-1808

120 Health Park Blvd
Ste 1
St Augustine, FL 32086
Phone (904) 819-4400

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: jgraham773948@direct.shands.ufl.edu
  • Direct secure messaging: jgraham@o4s.mdlogic.direct-ci.com

Organizations & group practices 8

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 8

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": "1185062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1437359056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112727",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326112727",
            "telephone_number": "352-273-7002",
            "fax_number": "352-273-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH PARK BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863701",
            "telephone_number": "888-481-2135",
            "fax_number": "386-627-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326107407",
            "country_code": "US",
            "telephone_number": "352-265-8336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 City Pl",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642479",
            "country_code": "US",
            "telephone_number": "888-481-2135",
            "fax_number": "386-627-7319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-22",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "OS11534",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS11534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.