Individual provider Active NPI

Donald Dean Graham Jr., MD

  • Pulmonary Disease Physician
  • Boone, NC
National Provider Identifier
1497737621
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9401410 Issued in NC
Practice address
148 Highway 105 Ext
Suite 104
Boone, NC 28607-5681
Phone
(336) 386-2746
Fax
(336) 386-2750
NPI assigned
Nov 15, 2005
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 9401410 NC
Pulmonary Disease Physician 207RP1001X 9401410 NC Primary

Addresses

Primary practice location

148 Highway 105 Ext
Suite 104
Boone, NC 28607-5681

Mailing address

148 Highway 105 Ext
Suite 104
Boone, NC 28607-5681
Phone (336) 386-2746

Other identifiers 1

IdentifierTypeStateIssuer
8936641MedicaidNC

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
I20050211000565 NC Practitioner - Pulmonary Disease 9436101086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Nebraska College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

194 Doctors Dr
Boone, NC 28607-5000
Phone (828) 386-2746

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Pulmonary Disease CurrentSince Apr 21, 2016 Accepting new patients
Appalachian Regional Medical Associates, Inc. Pulmonary Disease Past Accepting new patients

Locations

194 Doctors Dr
Boone, NC 28607
Phone (828) 264-1100

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

870 State Farm Rd
Ste 100
Boone, NC 28607
Phone (828) 264-5464

Interoperability endpoints

  • Direct secure messaging: dgraham742561@direct.unc.nchie.net
  • Direct secure messaging: donaldgraham@arhs.allscriptsdirect.net

Organizations & group practices 2

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 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1497737621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HIGHWAY 105 EXT",
            "address_2": "SUITE 104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075681",
            "telephone_number": "336-386-2746",
            "fax_number": "336-386-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HIGHWAY 105 EXT",
            "address_2": "SUITE 104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075681",
            "telephone_number": "336-386-2746",
            "fax_number": "336-386-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DONALD",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "9401410",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "9401410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936641",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.