MRS. BEVERLY DENISE GRAHAM


Address: 1101 Ocilla Rd, Douglas, GA 31533-2207
Phone: 9123841900

MRS. BEVERLY DENISE GRAHAM (NPI# 1316451735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316451735
Entity Type Individual
Full Name MRS. BEVERLY DENISE GRAHAM
Credential FNP-C
Practice Address 1101 Ocilla Rd
Douglas
GA 31533-2207
Mailing Address 228 Cromwell Cir
Douglas
GA 31535-7411
Practice Telephone 9123841900
Practice Fax Number 9123892278
Enumeration Date 2017-11-21
Last Update Date 2017-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN130303 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers BEVERLY GRAHAM

NPI Name Taxonomy Address Enumeration
1336329689 Beverly L Graham Registered Nurse 335 Shaw Ave, Mckeesport, PA 15132-2918 2007-11-05
1033238027 Beverly M Graham Massage Therapist 1 Grove St, Suite 110, Pittsford, NY 14534-1300 2007-03-28

Office Location

Street Address 1101 OCILLA RD
City DOUGLAS
State GA
Zip Code 31533-2207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245238211 Joel W Ferree Internal Medicine 1101 Ocilla Rd, Douglas, GA 31533-2207 2005-07-13
1982239141 Candace Rose Musgrove Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2262 2020-03-09
1750920336 Alexis Courson Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2207 2019-12-31
1649839994 Bobby Joe Guess Jr. Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2262 2019-06-11
1801390836 Jodi Rogers Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2207 2018-03-23
1518460781 Amy Michelle Whitley Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2207 2018-03-14
1487160362 Richard Steven Keene Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2207 2017-12-14
1871010264 Laura Melissa Steverson Nurse Practitioner 1101 Ocilla Rd, Douglas, GA 31533-2207 2017-08-25
1366974263 Coffee Regional Medical Center, Inc Medicare Defined Swing Bed Unit 1101 Ocilla Rd, Douglas, GA 31533-2207 2017-03-30
1811435464 Coffee County Hospitalist Physicians, LLC Independent Medical Examiner 1101 Ocilla Rd, Douglas, GA 31533-2207 2017-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508470964 Swain Drug Company LLC Pharmacy 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 2020-09-03
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1952940793 Teresa Smith Pharmacist 901 W Ward St, Douglas, GA 31533 2019-12-26
1447641048 Jennifer Spivey Nurse Practitioner 326 Shirley Avenue, Douglas, GA 31533 2015-02-18
1972914497 Jessica Lynne Courson Nurse Practitioner 903 West Ward Street, Suite B, Douglas, GA 31533 2014-05-19
1063840296 South Central Primary Care Center Clinic/Center 303 Shirley Ave, Ste B, Douglas, GA 31533 2013-10-25
1336411008 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 118 Coweta Avenue South, Douglas, GA 31533 2012-01-27
1346482700 V and V Clinic Pediatrics 1020 West Bryan Street, Douglas, GA 31533 2009-04-01
1063650406 Jayla Snipes Bullock Speech-Language Pathologist 618 Bowens Mill Road Sw, Douglas, GA 31533 2009-01-22
1417112707 Southern Community Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 315 S. Gaskin Ave, Douglas, GA 31533 2008-07-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013551829 Taylor Lamar Gibson Nurse Practitioner 200 Doctors Dr Ste O, Douglas, GA 31533-2202 2019-11-05
1952879918 Monica Nichole Roberts Nurse Practitioner 210 Peterson Ave S, Douglas, GA 31533-5237 2018-11-08
1770058539 Carlas Paulk Nurse Practitioner 28 Tempa Ln, Douglas, GA 31535-4561 2018-10-09
1053801860 Brandon Hall Nurse Practitioner 903 Ward St W Ste A, Douglas, GA 31533-3536 2018-05-16
1235508920 Michelle Martinez Jones Nurse Practitioner 200 Doctors Dr Ste S, Douglas, GA 31533-2203 2015-09-23
1447641048 Jennifer Spivey Nurse Practitioner 326 Shirley Avenue, Douglas, GA 31533 2015-02-18
1457758609 Angela Leah Overturf Nurse Practitioner 100 East 5th Street, Douglas, AZ 85607 2014-12-02
1063817872 Amanda Brulte Nurse Practitioner 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 2014-10-23
1720481500 La. Donna Spikes Nurse Practitioner 208 Grady Ave S, Douglas, GA 31533-2312 2014-10-07
1972914497 Jessica Lynne Courson Nurse Practitioner 903 West Ward Street, Suite B, Douglas, GA 31533 2014-05-19
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Competitor

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City DOUGLAS
Zip Code 31533

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Dataset Information

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.

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