NPIMap

Individual provider Active NPI

Vernishia Hill Graham, M.D.

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1679864870
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.3012R Issued in AL
Practice address
1855 Halcyon Blvd
Montgomery, AL 36117-8044
Phone
(334) 530-6387
Fax
(334) 612-7540
NPI assigned
Apr 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L.3012R AL Primary

Addresses

Primary practice location

1855 Halcyon Blvd
Montgomery, AL 36117-8044

Mailing address

1855 Halcyon Blvd
Montgomery, AL 36117-8044
Phone (334) 530-6387

Other practice location 1

470 Taylor Rd
Suite 310
Montgomery, AL 36117-3563
Phone (334) 244-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000769 AL Practitioner - Family Practice 3173795077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care AssociatesGroup PAC ID 6608177860, 6 clinicians

Practice addresses (Care Compare)

1855 Halcyon Blvd
Montgomery, AL 36117-8044
Phone (334) 530-6387

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.3012RALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine CurrentSince Sep 12, 2011 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Sep 12, 2011 Accepting new patients
Family Care Associates CurrentSince Nov 21, 2015 Accepting new patients

Locations

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

1855 Halcyon Blvd
Montgomery, AL 36117
Phone (334) 530-6387

470 Taylor Rd
Ste 310
Montgomery, AL 36117
Phone (334) 244-4322

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1679864870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 HALCYON BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178044",
            "telephone_number": "334-530-6387",
            "fax_number": "334-612-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 HALCYON BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178044",
            "telephone_number": "334-530-6387",
            "fax_number": "334-612-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Taylor Rd",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173563",
            "country_code": "US",
            "telephone_number": "334-244-4322",
            "fax_number": "334-244-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL GRAHAM",
        "first_name": "VERNISHIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-22",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.3012R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.