James Matthew Graham, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E-9179 Issued in AR

Practice address

5 Medical Park Dr Ste 200
Benton, AR 72015-3732

Phone

(501) 776-3800

Fax

(501) 776-2209

NPI assigned

Mar 29, 2011

Last updated

Feb 13, 2024By 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 AR

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

Dermatology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.01 of 100Reported as individual

Quality

94.13

Improvement activities

40

Procedures performed for Medicare patients

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.

• Prime Medical Group PLLC

  • Dermatology Physician
  • Little Rock, AR
  • NPI 1427605153
  Medicare reassignment Care Compare group NPD
• Prime Medical Group PLLC

  • Dermatology Physician
  • Hot Springs, AR
  • NPI 1528667672
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1437448594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "address_2": "SUITE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 200",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153732",
            "telephone_number": "501-776-3800",
            "fax_number": "501-776-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Section Line Rd Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136480",
            "country_code": "US",
            "telephone_number": "501-359-3880",
            "fax_number": "501-359-3881",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9601 Baptist Health Dr",
            "address_2": "Suite 690",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056328",
            "country_code": "US",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAMES",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AR",
            "license": "E-9179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210678001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marrico Goree, RECOVERY ASSISTANT
• Charles Greg Gorman, QBHP
• Steve Luther Gossage
• Karleena G Gotcher, RECOVERY ASSISTANT
• Amber Grady, RECOVERY ASSISTANT
• Clarissa Grant, CMP
• Jonha-Virginia Grant
• Nancy Dorothy Grant, L.P.C.
• Anna Claire Graves
• Irving Graves, RECOVERY ASSISTANT

• Dermatology Physician in Benton, AR
• Providers in Benton, AR by specialty
• Dermatology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.