Individual provider Active NPI

Frances H Graham, MD

  • Pediatrics Physician
  • Huntsville, AL
National Provider Identifier
1619209046
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36648 Issued in AL
Practice address
4801 Bob Wallace Avenue
Huntsville, AL 35805-3389
Phone
(256) 428-7488
Fax
(256) 428-7561
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36648 AL Primary

Addresses

Primary practice location

4801 Bob Wallace Avenue
Huntsville, AL 35805-3389

Mailing address

515 Sparkman Dr NW
Huntsville, AL 35816-3417
Phone (256) 428-7560

Other practice location 1

3112 Meridian St N
Huntsville, AL 35811-1539
Phone (253) 428-7110

Other practice location 2

11588 Pulaski Pike
Toney, AL 35773-9381
Phone (256) 693-1006

Other practice location 3

2755 Wilson Dr NW
Huntsville, AL 35816-3949
Phone (256) 428-7428

Other identifiers 4

IdentifierTypeStateIssuer
217225MedicaidAL
217226MedicaidAL
216959MedicaidAL
216957MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100503000809 GA Practitioner - Pediatric Medicine 4688702269 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36648ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toccoa Clinic Medical Associates, LLP CurrentSince Feb 1, 2010 Accepting new patients
Heals Inc Pediatrics PastSince Aug 25, 2019 Accepting new patients

Locations

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

58 Big a Rd
Toccoa, GA 30577
Phone (706) 886-3148

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1619209046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SPARKMAN DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163417",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BOB WALLACE AVENUE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358053389",
            "telephone_number": "256-428-7488",
            "fax_number": "256-428-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3112 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358111539",
            "country_code": "US",
            "telephone_number": "253-428-7110",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11588 Pulaski Pike",
            "address_purpose": "LOCATION",
            "city": "Toney",
            "state": "AL",
            "postal_code": "357739381",
            "country_code": "US",
            "telephone_number": "256-693-1006",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2755 Wilson Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358163949",
            "country_code": "US",
            "telephone_number": "256-428-7428",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "FRANCES",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "36648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217225",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217226",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216959",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216957",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.