Active NPI
Donald Dean Graham Jr., MD
- Pulmonary Disease Physician
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 9401410
- 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, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8936641 | Medicaid | NC |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Medical Associates, Inc. | Pulmonary Disease | Current | 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
- dgraham742561@direct.unc.nchie.net
- 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.
-
dba Appalachian Gastroenterology
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Pulmonary Disease
-
dba Appalachian Regional Internal Medicine Specialists
- Internal Medicine Physician
- Boone, NC
- NPI 1851783385
Pulmonary Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
dba Appalachian Regional Healthcare System
- Critical Access Hospital
- Linville, NC
- NPI 1225088255
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.