Antonio Andre Graham, D.O.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

H79631 Issued in MD

Practice address

1670 Clairmont Rd
Decatur, GA 30033-4004

Phone

(781) 724-5348

NPI assigned

Aug 2, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, GA2 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 2

Specialty

Internal MedicineAlso: Hospitalist

Education

Philadelphia College of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johns Hopkins UniversityGroup PAC ID 4981745098, 711 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Bayview Medical Center Hospital, Baltimore, MD, CCN 210029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: agraham176239@direct.hopkinsmedicine.org
• Direct secure messaging: ernest.graham.p1@direct.bmsi.nextgenshare.com

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.

• Johns Hopkins University

  • Hospitalist Physician
  • Baltimore, MD
  • NPI 1902332133
  Medicare reassignment Care Compare group NPD
• 24 On Physicians, PC

  • Hospitalist Physician
  • Rome, GA
  • NPI 1912956251
  Medicare reassignment NPD
• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  Hospitalist

  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385
  Medicare reassignment NPD
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1164138152
  Medicare reassignment NPD
• 24 On Physicians, P.C.

  • Hospitalist Physician
  • Attleboro, MA
  • NPI 1790104511
  NPD
• Baltimore Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baltimore, MD
  • NPI 1700882503
  NPD
• Johns Hopkins University

  • Neurology Physician
  • MC Lean, VA
  • NPI 1598552226
  NPD
• Johns Hopkins Bayview Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1790700904
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johns Hopkins Bayview Medical Center Inc

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1790700904
  Care Compare affiliation
• Johns Hopkins Bayview Medical Center, Inc.

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1336251412
  Care Compare affiliation

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1619255148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 GREENLEIGH AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212202004",
            "telephone_number": "410-933-6423",
            "fax_number": "410-500-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334004",
            "telephone_number": "781-724-5348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Eastern Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212644004",
            "country_code": "US",
            "telephone_number": "443-703-3600",
            "fax_number": "443-202-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265360",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2451 Fillingham Street, Rm 400L",
            "address_2": "University of South Alabama, Department of Internal Med",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172293",
            "country_code": "US",
            "telephone_number": "251-471-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANTONIO",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "H79631",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "077372",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036163417",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "H79631",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036163417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Graceful Healing Home Care LLC
• Felicia Graddick
• Zachary Alexander Gradolph
• Grady Memorial Hospital Corporation
• Walter A Grage, DDS
• Gertrude Durham Graham, BSN,RN
• Kiva Yolanda Graham
• Stephanie Grain, RPH
• Anthony A Granberry, THD, LPC, LMFT
• Ross Kaelund Granderson, PT, DPT

• Hospitalist Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.

Verify at the official NPI Registry.