Active NPI
Paul Everett Graham
- Dietary Manager
- Fairburn, GA
National Provider Identifier
1982574562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- Practice address
- 303 Senoia Rd
Fairburn, GA 30213-1653 - Phone
- (770) 896-2053
- NPI assigned
- Nov 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | Primary |
Addresses
Primary practice location
303 Senoia Rd
Fairburn, GA 30213-1653
Mailing address
303 Senoia Rd
Fairburn, GA 30213-1653
Phone (770) 896-2053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1982574562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 SENOIA RD",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302131653",
"telephone_number": "770-896-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SENOIA RD",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302131653",
"telephone_number": "770-896-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "PAUL",
"middle_name": "EVERETT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.