Gloria Graham, M.D.
Individual provider Active NPI Family Medicine Physician · Sebastopol, MS
NPI 1932519964 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1932519964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27211 (MS)
- Practice address
- 1488 Hwy 487
Sebastopol, MS 39359 - Phone
- (601) 625-7403
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Central Mississippi Health Care Inc
Practice addresses (Care Compare)
1488 Hwy 487
Sebastopol, MS 39359-0150
Phone (601) 625-7403
PO Box
Sebastopol, MS 39359
Hospital & facility affiliations
- Accentcare Home Health of Carthage
- Ochsner Laird Hospital
- Neshoba County General Hospital
- Neshoba County General Hospital
- Ochsner Rush Hospital
- Anderson Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201102001873 | MS | Practitioner - Family Practice | 0244506764 | Reassigns benefits to 2 organizations |
| I20230608001120 | TX | Practitioner - Family Practice | 0244506764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145497 | CA | MD | Family Medicine Physician |
| 27211 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Central Mississippi Health Care, Inc. | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current |
Accepting new patients | |
| Medical Foundation, Inc. | Current |
Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| East Central Mississippi Health Care, Inc | Current | Accepting new patients | |
| Medical Foundation, Inc. | Family Medicine | Current |
Accepting new patients |
| Clinicas de Salud del Pueblo, Inc. | Past | Accepting new patients | |
| East Central Mississippi Health Care Inc | Past | Accepting new patients |
Locations
1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639
210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500
376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500
10330 Road 375
Philadelphia, MS 39350
Phone (601) 656-0226
24345 Highway 15
Union, MS 39365
Phone (601) 774-8211
Interoperability endpoints
- https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
- gloria.graham.1@17349.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27211 | MS | Yes |
Addresses
Primary practice location
1488 Hwy 487
Sebastopol, MS 39359
Mailing address
1488 Hwy 487
Sebastopol, MS 39359
Phone (601) 625-7403
Other providers in Sebastopol, MS
- Nicholas John Dennery II
- Shanna Donald
- East Central Mississippi Health Care Inc
- Malinda Elizabeth Ellis Gilmer
- Angela Graham
- Telitha K Grant-Spencer
- Hometown Health and Wellness, PLLC
- Independent Healthcare Management, Inc.
- Aser M Kandil
- Sadie Katherine Marshall
All providers in Sebastopol, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.