Jeremy Robert Graham, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20175 Issued in MS

Practice address

611 Alcorn Dr
Corinth, MS 38834-9321

Phone

(662) 293-1000

Fax

(662) 287-2823

NPI assigned

Jul 6, 2007

Last updated

Mar 4, 2015By 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

Medicare fee-for-service enrollment

Enrolled in MS

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

Emergency Medicine

Education

University of Pikeville, Kentucky College of Osteopathic Med, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relias Emergency Medicine Specialists of Amory, LLCGroup PAC ID 4486088853, 27 clinicians

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

RH Emergency Medicine of Och Regional LLCGroup PAC ID 0941734990, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Hospice of the South (* Deemed ) Hospice, Corinth, MS, CCN 251552
• Homecare Hospice North LLC Dba Legacy Hospice of the South Hospice, New Albany, MS, CCN 251682
• Legacy Hospice of the South - Batesville Hospice, Batesville, MS, CCN 251628
• Magnolia Regional Health Center Hospital, Corinth, MS, CCN 250009
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Baptist Memorial Hospital-Oktibbeha County Hospital, Starkville, MS, CCN 250050
• Tippah County Hospital Hospital, Ripley, MS, CCN 251337
• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de
• Direct secure messaging: jeremygraham@magnolia.medalliesdirect.net
• Direct secure messaging: jgraham52214@direct.bmhcc.org

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.

• RH Emergency Medicine of Och Regional LLC

  • Emergency Medicine Physician
  • Starkville, MS
  • NPI 1093532889
  Medicare reassignment Care Compare group NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  MS

  Medicare reassignment Care Compare group NPD
• Relias Emergency Medicine Specialists of Amory, LLC

  • Emergency Medicine Physician
  • Amory, MS
  • NPI 1265074769
  Medicare reassignment Care Compare group
• App of Mississippi Ed, LLC

  • Emergency Medicine Physician
  • Jackson, MS
  • NPI 1730687740
  Medicare reassignment NPD
• Magnolia Physician Services, Inc

  • Internal Medicine Physician
  • Corinth, MS
  • NPI 1073827549
  Medicare reassignment NPD
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Medicare reassignment NPD
• Mississippi Physicians LLP

  • Emergency Medicine Physician
  • Corinth, MS
  • NPI 1902174832
  Medicare reassignment NPD
• Pontotoc Health Services, Inc.

  dba Pontotoc Health Services CAH

  • Critical Access Hospital
  • Pontotoc, MS
  • NPI 1821103516
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of West Point, LLC

  • Emergency Medicine Physician
  • West Point, MS
  • NPI 1275172736
  Medicare reassignment NPD
• Relias Hospitalist Medicine Specialists of Pontotoc LLC

  • Hospitalist Physician
  • Pontotoc, MS
  • NPI 1972189330
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  dba UMMC Greenwood Hospital

  • General Acute Care Hospital
  • Greenwood, MS
  • NPI 1699714717
  Medicare reassignment NPD
• Tippah County Hospital

  dba Tippah County Health Clinic

  • Primary Care Clinic/Center
  • Ripley, MS
  • NPI 1215710967
  Medicare reassignment NPD

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

• Baptist Memorial Hosp Oktibbeha County Inc.

  • Rural Acute Care Hospital
  • Starkville, MS
  • NPI 1346112521
  Care Compare affiliation
• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352
  Care Compare affiliation
• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation
• Homecare Hospice North, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • New Albany, MS
  • NPI 1164893343
  Care Compare affiliation
• Magnolia Regional Health Center

  • General Acute Care Hospital
  • Corinth, MS
  • NPI 1699756445
  Care Compare affiliation
• Mercy Hospice LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Ripley, MS
  • NPI 1386689016
  Care Compare affiliation
• Mercy Hospice, LLC

  dba Legacy Hospice of the South

  • Community Based Hospice Care Agency
  • Batesville, MS
  • NPI 1306141387
  Care Compare affiliation
• Tippah County Hospital

  dba Tippah County Health Services1

  • General Acute Care Hospital
  • Ripley, MS
  • NPI 1306882246
  Care Compare affiliation
• Tippah County Hospital

  dba Tippah County Health Services

  • Critical Access Hospital
  • Ripley, MS
  • NPI 1730578600
  Care Compare affiliation

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1851599211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EDGEWATER DR",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388667945",
            "telephone_number": "769-798-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-1000",
            "fax_number": "662-287-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JEREMY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "20175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Gifford, ATC
• James C Gilmore, M.D.
• Gladys Glover
• Golden Blessings LLC
• Andres Roberto Gomez, MD
• Kyle G Graham, DPT
• Carol M Gray, R.N.
• Angela Griffin, MS
• Grimes-Bevis Chiropractic, PLLC
• Brent Alan Grimes, NP-C

• Emergency Medicine Physician in Corinth, MS
• Providers in Corinth, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.