Individual provider Active NPI

George Paterson Graham, MD

  • Cardiovascular Disease Physician
  • Metairie, LA
National Provider Identifier
1871021279
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
322973 Issued in LA
Practice address
4224 Houma Blvd Ste 500
Metairie, LA 70006-2938
Phone
(504) 503-4102
Fax
(504) 456-6737
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL41087 SC
Internal Medicine Physician 207R00000X 322973 LA
Cardiovascular Disease Physician 207RC0000X 322973 LA Primary

Addresses

Primary practice location

4224 Houma Blvd Ste 500
Metairie, LA 70006-2938

Mailing address

4224 Houma Blvd Ste 500
Metairie, LA 70006-2938
Phone (504) 503-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20210422001360 LA Practitioner - Internal Medicine 0143596205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 500
Metairie, LA 70006-2938
Phone (504) 455-0842

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322973LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Crescent City Physicians, Inc. Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Mar 14, 2021 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients

Locations

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 Corporate Blvd
Lafayette, LA 70508

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4228 Houma Blvd
Fl 3
Metairie, LA 70006
Phone (504) 454-2222

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
#3
Metairie, LA 70006

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 455-0842

5646 Read Blvd
New Orleans, LA 70127
Phone (504) 242-5357

6307 Elysian Fields Ave
Ste 100
New Orleans, LA 70122
Phone (504) 947-7754

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Interoperability endpoints

  • Direct secure messaging: ggraham1229004@direct.ochsner.org

Organizations & group practices 4

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

Hospital & facility affiliations 5

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1871021279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "504-503-4102",
            "fax_number": "504-456-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062938",
            "telephone_number": "504-503-4102",
            "fax_number": "504-456-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GEORGE",
        "middle_name": "PATERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL41087",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "322973",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "322973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.