Individual provider Active NPI

Page M Graham, NP

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1992860779
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
MD38960 Issued in TN
Practice address
833 Nashville Hwy Ste 12
Columbia, TN 38401-2478
Phone
(931) 981-6930
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X MD38960 TN Primary

Addresses

Primary practice location

833 Nashville Hwy Ste 12
Columbia, TN 38401-2478

Mailing address

833 Nashville Hwy Ste 12
Columbia, TN 38401-2478
Phone (931) 981-6930

Other identifiers 2

IdentifierTypeStateIssuer
P00382682OtherTNRAILROAD MEDICARE
3346631MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070516000261 TN Practitioner - Nurse Practitioner 8628175247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1332 Hazelwood Dr
Smyrna, TN 37167-3922
Phone (615) 267-2006

2531 Elm Hill Pike
Nashville, TN 37214-3154
Phone (615) 883-6995

6413 Lee Hwy
Suite 107
Chattanooga, TN 37421-4860
Phone (423) 225-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MD38960TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jan 26, 2015 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care, P.a. CurrentSince Jan 26, 2015 Accepting new patients
Spring Hill Physicians LLC Past Accepting new patients
Aj Medical Services, Inc Past Accepting new patients
Healing Care Past Accepting new patients

Locations

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

1719 Gallatin Pike N
Madison, TN 37115
Phone (615) 284-1785

2531 Elm Hill Pike
Nashville, TN 37214
Phone (615) 284-1843

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1992860779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 NASHVILLE HWY STE 12",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012478",
            "telephone_number": "931-981-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 NASHVILLE HWY STE 12",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012478",
            "telephone_number": "931-981-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PAGE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "MD38960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "P00382682",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3346631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.