Active NPI
Bracy B Graham II, CRNA
- Certified Registered Nurse Anesthetist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN169732
- Practice address
- 1755 Highway 34 E
Suite 1100
Newnan, GA 30265-5631 - Phone
- (770) 252-7510
- Fax
- (770) 252-7511
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN169732 | GA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 50304 | TX |
Addresses
Primary practice location
1755 Highway 34 E
Suite 1100
Newnan, GA 30265-5631
Mailing address
3025 Sharpsburg McCullum Rd
BLDG B
Newnan, GA 30265-6107
Phone (770) 251-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2151 Riverside Ave
Jacksonville, FL 32204-4416
Phone (904) 388-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50304 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Disease Consultants | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Medical Group | Past | Accepting new patients | |
| United Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Clinical Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sweet Dreams of Albany LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sweet Dreams Nurse Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sentry Anesthesia Management, LLC | Past | Accepting new patients | |
| Southern Crescent Anesthesiology, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2151 Riverside Ave
Jacksonville, FL 32204
Phone (904) 381-8900
Organizations & group practices 10
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.
-
- Gastroenterology Physician
- Jacksonville, FL
- NPI 1710251921
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Newnan, GA
- NPI 1134544794
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1275585879
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Macon, GA
- NPI 1003168923
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Alpharetta, GA
- NPI 1710138805
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Albany, GA
- NPI 1124537386
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Grapevine, TX
- NPI 1518265966
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1215995816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Texarkana, TX
- NPI 1720046444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1891860169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 SHARPSBURG MCCULLUM RD",
"address_2": "BLDG B",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302656107",
"telephone_number": "770-251-2060",
"fax_number": "770-251-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 34 E",
"address_2": "SUITE 1100",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302655631",
"telephone_number": "770-252-7510",
"fax_number": "770-252-7511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "BRACY",
"middle_name": "B",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN169732",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "50304",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.