Active NPI
Nancy B Graham, MD
- Psychiatry Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 45464
- Practice address
- 1203 American Greeting Card Rd
Corbin, KY 40701-4811 - Phone
- (606) 528-7010
- NPI assigned
- Nov 1, 2006
- Last updated
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15702 | WV | |
| Psychiatry Physician | 2084P0800X | 45464 | KY | Primary |
Addresses
Primary practice location
1203 American Greeting Card Rd
Corbin, KY 40701-4811
Mailing address
PO Box 568
Corbin, KY 40702-0568
Phone (606) 528-7010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100229160 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- JC Edwards School of Medicine, Marshall University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Valley View LN
Mount Vernon, KY 40456-2215
Phone (606) 256-2129
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45464 | KY | MD | Psychiatry Physician |
| 15702 | WV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland River Behavioral Health, Inc | Current | Accepting new patients |
Locations
704 Pitzer St
Barbourville, KY 40906
Phone (606) 546-3104
215 W Tennessee Ave
Pineville, KY 40977
Phone (606) 337-6137
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Corbin, KY
- NPI 1902023526
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Corbin
- General Acute Care Hospital
- Corbin, KY
- NPI 1902865389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1447337571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "CORBIN",
"state": "KY",
"postal_code": "407020568",
"telephone_number": "606-528-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 AMERICAN GREETING CARD RD",
"city": "CORBIN",
"state": "KY",
"postal_code": "407014811",
"telephone_number": "606-528-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "NANCY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "15702",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "KY",
"license": "45464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100229160",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
- Grace Community Health Center, Inc. (Grace Health Women's Care)
- Grace Community Health Center, Inc.
- Grace Community Health Center, Inc. (Corbin Middle School Based Health Care)
- Grace Community Health Center, Inc.
- Aimee Russell Grace, DO
- Kasi Nicole Grande, BA
- Stephanie Hope Graves
- Adrian Denise Gray, FNP-BC
- Amanda Shay Gray, BS
- Amy Nicole Gray, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.