Gertrude Durham Graham, BSN,RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN127664 Issued in GA

Practice address

1670 Clairmont Road
V a. Medical Center (Atlanta)
Decatur, GA 30033-9819

Phone

(404) 321-6111

Fax

(404) 728-7785

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1952331381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 PEGGY MCMILLAN DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586229",
            "telephone_number": "770-413-2997",
            "fax_number": "404-728-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 CLAIRMONT ROAD",
            "address_2": "V A. MEDICAL CENTER (ATLANTA)",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300339819",
            "telephone_number": "404-321-6111",
            "fax_number": "404-728-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GERTRUDE",
        "middle_name": "DURHAM",
        "credential": "BSN,RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN127664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Graddick
• Zachary Alexander Gradolph
• Grady Memorial Hospital Corporation
• Walter A Grage, DDS
• Antonio Andre Graham, D.O.
• Kiva Yolanda Graham
• Stephanie Grain, RPH
• Anthony A Granberry, THD, LPC, LMFT
• Ross Kaelund Granderson, PT, DPT
• Audrey Grant, NDTR

• Registered Nurse in Decatur, GA
• Providers in Decatur, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.