NPIMap

Organization Active NPI

Jerry M. Graham, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1720118797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7312 Issued in AL
Legal business name
JERRY M. GRAHAM, M.D.
Practice address
2903 Wall Triana Hwy Ste 7
Huntsville, AL 35824-1537
Phone
(256) 464-9080
Fax
(256) 464-0193
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry M Graham, M.D.
Title
Owner
Phone
(256) 464-9080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 7312 AL Primary

Addresses

Primary practice location

2903 Wall Triana Hwy Ste 7
Huntsville, AL 35824-1537

Mailing address

2903 Wall Triana Hwy Ste 7
Huntsville, AL 35824-1537
Phone (256) 464-9080

Other names 1

  • Graham Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2903 Wall Triana Hwy SW
Ste 7
Huntsville, AL 35824
Phone (256) 464-9080

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720118797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 WALL TRIANA HWY STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241537",
            "telephone_number": "256-464-9080",
            "fax_number": "256-464-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 WALL TRIANA HWY STE 7",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358241537",
            "telephone_number": "256-464-9080",
            "fax_number": "256-464-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY M. GRAHAM, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-464-9080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "7312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.