Jon F. Graham, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

ME166111 Issued in FL

Practice address

14785 Old Saint Augustine Rd Ste 100
Jacksonville, FL 32258-7407

Phone

(904) 456-0017

Fax

(904) 456-0018

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, FL2 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

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.

• Jon F Graham MD LLC

  • Ambulatory Surgical Clinic/Center
  • Honolulu, HI
  • NPI 1386815603
  NPD Authorized official
• Integrity Spine and Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Middleburg, FL
  • NPI 1356108989

  Neurological Surgery

  NPD
• Jeffrey JK Lee MD Inc

  • Specialist
  • Honolulu, HI
  • NPI 1083916837
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1700847084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 OLD SAINT AUGUSTINE RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587407",
            "telephone_number": "904-456-0017",
            "fax_number": "904-456-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14785 OLD SAINT AUGUSTINE RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322587407",
            "telephone_number": "904-456-0017",
            "fax_number": "904-456-0018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 Lusitana St Ste 407",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132440",
            "country_code": "US",
            "telephone_number": "808-550-4939",
            "fax_number": "808-550-2842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JON",
        "middle_name": "F.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD5147",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "MD-5147",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME166111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024320",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James A Graham, M.D.
• Jasmine Graham
• Jasmyn C. Graham
• Jennifer Graham, LCSW
• Joanie Lashelle Graham, LMT
• Katie Marie Graham, PT, DPT
• Khandie Graham, M.D.
• Latoya Graham, RN
• Marion Coates Graham, ARNP
• Molly Graham

• Neurological Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurological Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.