Individual provider Active NPI

Janet S Graham, ANP

  • Nurse Practitioner
  • Pulaski, TN
National Provider Identifier
1861559692
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000012191 Issued in TN
Practice address
Pulaski Pain Management & Adult Health Care
304 East Jefferson St
Pulaski, TN 38478
Phone
(256) 423-8661
NPI assigned
Jan 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000012191 TN Primary

Addresses

Primary practice location

Pulaski Pain Management & Adult Health Care
304 East Jefferson St
Pulaski, TN 38478

Mailing address

26228 Al Highway 251
Elkmont, AL 35620-3126
Phone (256) 423-8661

Other names 1

  • Mrs. Janet Sue Bailey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000129 TN Practitioner - Nurse Practitioner 7416043583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

304 E Jefferson St
Pulaski, TN 38478-2924
Phone (931) 207-8897

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000012191TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Primary Healthcare LLC CurrentSince Jun 27, 2007 Accepting new patients

Locations

304 E Jefferson St
Pulaski, TN 38478
Phone (931) 207-8897

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861559692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26228 AL HIGHWAY 251",
            "city": "ELKMONT",
            "state": "AL",
            "postal_code": "356203126",
            "telephone_number": "256-423-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PULASKI PAIN MANAGEMENT & ADULT HEALTH CARE",
            "address_2": "304 EAST JEFFERSON ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "38478",
            "telephone_number": "256-423-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JANET",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "BAILEY",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.