Individual provider Active NPI

Jeffrey B Graham, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1609830918
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200301358 Issued in NC
Practice address
535 Wellington Way Ste 330
Lexington, KY 40503-1331
Phone
(859) 439-0400
NPI assigned
Apr 13, 2006
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E5319 AR
Family Medicine Physician 207Q00000X 56274 KY
Family Medicine Physician 207Q00000X 200301358 NC Primary

Addresses

Primary practice location

535 Wellington Way Ste 330
Lexington, KY 40503-1331

Mailing address

206 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 258-8681

Other practice location 1

206 Asheland Ave
Asheville, NC 28801-4016
Phone (828) 258-8681

Other identifiers 1

IdentifierTypeStateIssuer
166190001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY, TN, MD, MI, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050617000285 NC Practitioner - Family PracticePractitioner - Internal Medicine 5395789507 Reassigns benefits to 1 organization
I20220426002264 KY Practitioner - General Practice 5395789507
I20230123000283 TN Practitioner - Family PracticePractitioner - General Practice 5395789507
I20230125000902 MD Practitioner - Family Practice 5395789507
I20230412001051 MI Practitioner - Family Practice 5395789507
I20230511003424 TX Practitioner - Family Practice 5395789507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39729TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Health Centers, PA Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Wellington Provider Group PC Family Medicine Current Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
Mission Hospitals Inc. Past Accepting new patients
T W Wagner Inc Family Medicine Past Accepting new patients

Locations

535 Wellington Way
Ste 330
Lexington, KY 40503
Phone (859) 439-0400

881 Corporate Dr
Ste 110
Lexington, KY 40503
Phone (859) 439-0400

206 Asheland Ave
Asheville, NC 28801
Phone (828) 258-8681

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/33492/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffreygraham@afhcpa.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1609830918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 ASHELAND AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014016",
            "telephone_number": "828-258-8681",
            "fax_number": "828-253-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 WELLINGTON WAY STE 330",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031331",
            "telephone_number": "859-439-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Asheland Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014016",
            "country_code": "US",
            "telephone_number": "828-258-8681",
            "fax_number": "828-253-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5319",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "56274",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166190001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.