Individual provider Active NPI

Jack Gregory Graham, MD

  • Orthopaedic Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1447713920
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2025-01997 Issued in NC
Practice address
212 Thompson St
Hendersonville, NC 28792-2841
Phone
(610) 703-7396
Fax
(610) 703-7396
NPI assigned
Apr 10, 2019
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 2025-01997 NC
Orthopaedic Surgery Physician 207X00000X 2025-01997 NC Primary

Addresses

Primary practice location

212 Thompson St
Hendersonville, NC 28792-2841

Mailing address

212 Thompson St
Hendersonville, NC 28792-2841
Phone (610) 703-7396

Other identifiers 3

IdentifierTypeStateIssuer
2025-01997OtherNCSTATE MEDICAL LICENSE
01092322AOtherINSTATE LICENSE
300085092MedicaidIN

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250919001965 NC Practitioner - Orthopedic Surgery 9537492715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

212 Thompson St
Suite C
Hendersonville, NC 28792-2895
Phone (828) 694-7676

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-01997NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henderson County Hospital Corporation CurrentSince Sep 1, 2025 Accepting new patients
Hand Surgery Associates of Indiana, Inc. Hand Surgery CurrentSince Jul 15, 2024 Accepting new patients
Hand Surgery Associates of Indiana Inc Orthopaedic Surgery CurrentSince Jul 15, 2024 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery Current Accepting new patients
Orthopaedics-Indianapolis, Inc Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Henderson County Hospital Corporation Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients

Locations

1115 Ronald Reagan Pkwy
Ste 224
Avon, IN 46123
Phone (317) 272-1155

13914 Southeastern Pkwy
Ste 201
Fishers, IN 46037
Phone (317) 275-1999

737 W Green Meadows Dr
Ste 200
Greenfield, IN 46140
Phone (317) 462-2360

8450 Northwest Blvd
Indianapolis, IN 46278

8501 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 471-4339

8820 S Meridian St
Ste 235
Indianapolis, IN 46217
Phone (317) 817-1636

1791 W Lincoln Rd
Kokomo, IN 46902
Phone (574) 753-7600

3903 S 7th St
Ste 2A
Terre Haute, IN 47802
Phone (812) 478-9845

17219 Foundation Pkwy
Westfield, IN 46074
Phone (314) 707-8620

21 Turtle Creek Dr
Asheville, NC 28803
Phone (828) 274-4555

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

212 Thompson St
Hendersonville, NC 28792
Phone (828) 696-1000

212 Thompson St
Ste C
Hendersonville, NC 28792
Phone (828) 233-2929

800 N Justice St
#16
Hendersonville, NC 28791
Phone (828) 694-8350

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Organizations & group practices 7

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.

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1447713920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922841",
            "telephone_number": "610-703-7396",
            "fax_number": "610-703-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 THOMPSON ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922841",
            "telephone_number": "610-703-7396",
            "fax_number": "610-703-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JACK",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NC",
            "license": "2025-01997",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2025-01997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "2025-01997",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01092322A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300085092",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.