Leona Jean Graham, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33645 Issued in AL

Practice address

1865 Honeysuckle Rd Ste 2
Southeast Alabama Medical Center- Altacare
Dothan, AL 36305-4287

Phone

(334) 794-4582

Fax

(334) 671-9877

NPI assigned

Aug 13, 2008

Sex

Female

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 AL

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

Psychiatry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dr. Graham Psychiatric Services, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1316444912
  Medicare reassignment NPD Authorized official
• Houston County Healthcare Authority

  • Internal Medicine Physician
  • Dothan, AL
  • NPI 1285783134
  NPD

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1871749572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ROSS CLARK CIR",
            "address_2": "SOUTHEAST ALABAMA MEDICAL CENTER",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013022",
            "telephone_number": "334-794-4582",
            "fax_number": "334-671-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HONEYSUCKLE RD STE 2",
            "address_2": "SOUTHEAST ALABAMA MEDICAL CENTER- ALTACARE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054287",
            "telephone_number": "334-794-4582",
            "fax_number": "334-671-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LEONA",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "33645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Gosnell, CRNA
• Ravitej Goteti
• Lisa P Gowan, CNM
• Natalie Clark Gowen, RN, BSN, CPN
• Jeffrey S Graham, MD
• Lori P. Granberry, RPH
• Mallory Granger, OTR/L
• Candace Reynolds Grantham, CRNA
• Jared McKinley Grantham, CRNA
• Brianna Lynn Grayson, MS, LPC, ADC, QSAP I

• Psychiatry Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.