Organization Active NPI

Dr. Ona Graham, PC

  • Cognitive & Behavioral Psychologist
  • Columbus, GA
National Provider Identifier
1790959641
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PSY001682 Issued in GA
Legal business name
DR. ONA GRAHAM, PC
Practice address
1443 17TH St
Columbus, GA 31901-2029
Phone
(706) 317-2163
Fax
(706) 317-2176
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Ona Graham, PSY DNPI 1578597126
Title
Owner/President
Phone
(706) 317-2163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X PSY001682 GA Primary

Addresses

Primary practice location

1443 17TH St
Columbus, GA 31901-2029

Mailing address

1443 17TH St
Columbus, GA 31901-2029
Phone (706) 317-2163

Other identifiers 1

IdentifierTypeStateIssuer
00897124BMedicaidGA

Other names 1

  • ONA GRAHAM, PSYD Doing business as

National Provider Directory

National Provider Directory

Locations

1340 14th St
Ste B
Columbus, GA 31901
Phone (706) 317-2163

Practitioners & affiliated clinicians

Practitioners 2

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1790959641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1443 17TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012029",
            "telephone_number": "706-317-2163",
            "fax_number": "706-317-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1443 17TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012029",
            "telephone_number": "706-317-2163",
            "fax_number": "706-317-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ONA GRAHAM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ONA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-317-2163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "GA",
            "license": "PSY001682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00897124B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONA GRAHAM, PSYD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.