Toney Graham Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

08953 Issued in SC

Practice address

1278 Moore St
Lake City, SC 29560-4601

Phone

(843) 389-7251

Fax

(843) 389-7253

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Medical Consultants of Lake City LLC

  • Internal Medicine Physician
  • Lake City, SC
  • NPI 1538927462
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1669495867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251",
            "fax_number": "843-389-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 MOORE ST",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295604601",
            "telephone_number": "843-389-7251",
            "fax_number": "843-389-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TONEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "89530",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "08953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089530",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace and Mercy Home Health LC
• Graham Clinic Inc.
• Andrea Graham
• Darlene G Graham, RN
• Omega Denise Graham, PMHNP
• Toney Graham III, MD
• William Clark Griggs, MD
• Jessica McKenzie Grimsley, FNP
• Daniel W Guy, DMD PA
• Katelyn Hand

• Family Medicine Physician in Lake City, SC
• Providers in Lake City, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.