DAVID GRAHAM (NPI# 1053506899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053506899 |
| Entity Type | Individual |
| Full Name | DAVID GRAHAM |
| Credential | RN, MSN, NP-C |
| Practice Address |
4367 Atlanta Hwy Ste C Montgomery AL 36109-3171 |
| Mailing Address |
Po Box 240132 Montgomery AL 36124-0132 |
| Practice Telephone | 3347852200 |
| Practice Fax Number | 3343237148 |
| Mailing Telephone | 4439028816 |
| Mailing Fax Number | 3343237148 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | T20071316 | MD | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 1-129274 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN11001771 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-129274 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10131 Forrest Hill Blvd, Wellington, FL 33414 | 5617661300 | 5616930539 |
| 260 Foxdale Rd, Montgomery, AL 36109 | 4439028816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215291562 | David Charles Graham | Podiatrist | 5220 Clark Ave Ste 125, Lakewood, CA 90712-2623 | 2012-07-02 |
| 1073879706 | David Mark Graham | Counselor | 2359 Smith Cove Rd, Denver, NC 28037-7010 | 2012-04-06 |
| 1255621249 | David Eschol Graham | Physician Assistant | 1205 Monument Rd Ste 203, Industrial Medicine, Jacksonville, FL 32225-6482 | 2011-04-12 |
| 1134379902 | David Anthony Graham | Plastic Surgery | 6536 Anthony Dr Ste C, Suite C, Victor, NY 14564-1419 | 2008-09-29 |
| 1639338601 | David Michael Graham | Family Medicine | 305 E 8th St, National City, CA 91950-2311 | 2008-06-05 |
| 1487842357 | David G Graham | Preventive Medicine | 2500 Nesconset Hwy Bldg 16c, Stony Brook, NY 11790-2563 | 2007-10-04 |
| 1023238979 | David Richard Graham | Orthopaedic Surgery | 690 W Clinton St, Elmira, NY 14905-2226 | 2007-04-25 |
| 1386759264 | David Buoy Graham | Family Medicine | 520 North 4th Street, Springfield, IL 62794-9670 | 2006-08-20 |
| 1033158605 | David Graham | Obstetrics & Gynecology | Fiu College of Medicine, 11200 Sw 8th Street, Ahc2-485, Miami, FL 33199-2516 | 2006-06-06 |
| 1992757702 | David S Graham | Chiropractor | 183 Bartlett St, Suite 120, Asheville, NC 28801-4306 | 2006-05-17 |
| Street Address |
4367 ATLANTA HWY STE C |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36109-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005056 | Veterans Wellness Center of Alabama LLC | Clinic/Center | 4367 Atlanta Hwy Ste C, Montgomery, AL 36109-3171 | 2019-10-28 |
| 1215319447 | Nishant Christopher Khatri | Emergency Medicine | 4367 Atlanta Hwy Ste C, Montgomery, AL 36109-3171 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854017 | Danney Lester Hendrix | Massage Therapist | 5485 Atlanta Hwy, Root Salon Building, Montgomery, AL 36109 | 2020-06-08 |
| 1164987590 | Erin Lee Burleson | Specialist/Technologist | 5000 Veterns Stadium Drive, Troy, AL 36109 | 2019-02-11 |
| 1750876793 | Wecare Therapy Services, LLC | Speech-Language Pathologist | 1286 Perry Hill Road, Montgomery, AL 36109 | 2018-06-22 |
| 1992299549 | Four Seasons Healthcare Group, Inc | Durable Medical Equipment & Medical Supplies | 500 Interstate Park Drive, Suite 534, Montgomery, AL 36109 | 2018-06-18 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1780084756 | Genevieve Morris | Clinic/Center | Central Alabama Va Medical Hospital, 215 Perry Hill Rd, Montgomery, AL 36109 | 2014-08-27 |
| 1871907568 | Spencer Holaway Durham | Pharmacist | 615 Perry Hill Road, Montgomery, AL 36109 | 2014-06-20 |
| 1811256084 | Philip Thomas Wilson | Family Medicine | 529 E Moye Dr, Montgomery, AL 36109 | 2012-05-09 |
| 1063744068 | Healthcare On Demand, PC | General Practice | 4135 Atlanta Highway, Montgomery, AL 36109 | 2010-02-02 |
| 1316158660 | Shepherd A Odom Md PC | Family Medicine | 4143 Atlanta Hwy, Family Practice, Montgomery, AL 36109 | 2007-05-25 |
| Find all providers in zip 36109 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326528696 | Agnes Oberkor | Nurse Practitioner | 201 Monroe St Ste 1440, Montgomery, AL 36104-3704 | 2018-08-16 |
| 1720503287 | Kimberly Ann Corona | Nurse Practitioner | 488 St. Lukes Dr., Montgomery, AL 36117 | 2017-08-07 |
| 1720537335 | Cynthia Renne' Barrett | Nurse Practitioner | 1231 Perry Hill Road, Suite C, Montgomery, AL 36109 | 2016-09-23 |
| 1568895589 | Amanda Dease Hargrove | Nurse Practitioner | 2065 E South Blvd Ste 401, Montgomery, AL 36116-2462 | 2013-08-13 |
| 1053750315 | Janet Marie Reed | Nurse Practitioner | 1758 Park Pl Ste 100, Montgomery, AL 36106-1133 | 2013-06-20 |
| 1215285879 | Lindsey T Barton | Nurse Practitioner | 7461 East Drive, Ste 102, Montgomery, AL 36117-2714 | 2012-08-29 |
| 1194043141 | Julie Pavach | Nurse Practitioner | 10506a Montgomery Rd, Montgomery, OH 45242-4402 | 2010-05-13 |
| 1740467745 | Megan Leigh Strickland | Nurse Practitioner | 114 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2008-01-22 |
| 1427065630 | Dianne Kay Wills | Nurse Practitioner | 2105 East South Boulevard, Attn; Palliative Care, Montgomery, AL 36116-2509 | 2006-08-01 |
| 1962434027 | Steven E Cox | Nurse Practitioner | 700 Hyundai Blvd, Montgomery, AL 36105-9622 | 2006-07-07 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36109 |
Please comment or provide details below to improve the information on DAVID GRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.