Errol G Graham, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

032388 Issued in GA

Practice address

105 E Tollison St Ste C
Baxley, GA 31513-0150

Phone

(912) 367-4122

Fax

(912) 367-4136

NPI assigned

Aug 24, 2005

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Internal Medicine

Education

Medical College of Georgia School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RMX Blackshear LLCGroup PAC ID 4385034461, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: errol.graham.1@26696.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RMX Blackshear LLC

  dba Restor Metabolix of Blackshear

  • Endocrinology, Diabetes & Metabolism Physician
  • Blackshear, GA
  • NPI 1174287379
  Medicare reassignment Care Compare group NPD
• Hormone and Diabetic Infusion Center

  • Infusion Therapy Clinic/Center
  • Eatonton, GA
  • NPI 1154042265
  Medicare reassignment NPD
• RMX Baxley LLC

  dba Restor Metabolix of Appling

  • Clinic/Center
  • Baxley, GA
  • NPI 1780347070
  Medicare reassignment NPD
• RMX Brunswick, LLC

  dba The Diabetes Center Of Brunswick

  • Clinic/Center
  • Brunswick, GA
  • NPI 1871208629
  NPD
• The Baxley & Appling County Hospital Authority

  dba Appling Healthcare Group of Blackshear

  • Multi-Specialty Clinic/Center
  • Blackshear, GA
  • NPI 1548828676
  NPD
• The Baxley and Appling County Hospital Authority

  dba Appling Medical Group

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1821081860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E TOLLISON ST STE C",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130150",
            "telephone_number": "912-367-4122",
            "fax_number": "912-367-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ERROL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "032388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11BDLZL",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110148141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Baptist Children's Homes and Family Ministries, Inc.
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 07294)
• Bruce M Gioia, MD
• Mandy Sellers Gjone, NP
• John D Glenn, RPH,CDE
• Amber C Grantham, FNP
• Bethany Woodruff Gruber, RN, BSN, NP-C
• Toni Hale-Tinner
• Jeanette Lynn Hale, FNP-C
• Lisa Lynn Hall

• Internal Medicine Physician in Baxley, GA
• Providers in Baxley, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.