Individual provider Active NPI

Tony R. Graham, M.D.

  • Anesthesiology Physician
  • Anderson, SC
National Provider Identifier
1942251285
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
15407 Issued in SC
Practice address
800 N Fant St
Anderson, SC 29621-5708
Phone
(864) 225-4601
Fax
(864) 225-6998
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 15407 SC Primary

Addresses

Primary practice location

800 N Fant St
Anderson, SC 29621-5708

Mailing address

PO Box 1657
Anderson, SC 29622-1657
Phone (864) 225-4601

Other identifiers 1

IdentifierTypeStateIssuer
Q27048MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100923000898 SC Practitioner - Anesthesiology 3870619158 Reassigns benefits to 1 organization
I20180611000501 AL Practitioner - Anesthesiology 3870619158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Tennessee, HSC, College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Hospital Anesthesia CurrentSince Oct 1, 2022 Accepting new patients
HH Heart Center, LLC Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Anesthesiology Services of Anderson, PA Anesthesiology CurrentSince Apr 8, 2002 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Anesthesiology PastSince Oct 1, 2012 Accepting new patients
Pain Management, LLC Past Accepting new patients

Locations

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

930 Franklin St SE
Huntsville, AL 35801

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Organizations & group practices 5

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 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1942251285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296221657",
            "telephone_number": "864-225-4601",
            "fax_number": "864-225-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "864-225-4601",
            "fax_number": "864-225-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TONY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "15407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q27048",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.