Carliss C Graham (NPI# 1841441458, PAC ID# 1456544618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1841441458 |
| PAC ID by PECOS | 1456544618 |
| Professional Enrollment ID | I20101020000262 |
| Full Name | Carliss C Graham |
| Organization Legal Name | PIEDMONT SPECIALTY HOSPITAL BILLING |
| Address |
1266 Hwy 515 S Jasper GA 30143-4872 |
| Phone Number | 7066922441 |
| Gender | M |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4183986490 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110225 | PIEDMONT MOUNTAINSIDE HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1984 Peachtree Rd Nw, Suite 300, Atlanta, GA 30309-5219 | 4043673210 | PIEDMONT PROVIDERS LLC |
| 1266 Hwy 515 S, Jasper, GA 30143-4872 | 7066922441 | PIEDMONT SPECIALTY HOSPITAL BILLING |
| 1266 Hwy 515 S, Jasper, GA 30143-4872 | PIEDMONT PROVIDERS LLC |
| Organization Legal Name | PIEDMONT SPECIALTY HOSPITAL BILLING |
| Physicians | 109 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley D Hare | General Surgery | Piedmont Specialty Hospital Billing | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Asharul Usmani | Critical Care (intensivists) | Piedmont Specialty Hospital Billing | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Rachel Nicole Zimmerman | Physician Assistant | Piedmont Specialty Hospital Billing | 1255 Hwy 54 W, Fayetteville, GA 30214-4526 |
| Paul Zolty | Critical Care (intensivists) | Piedmont Specialty Hospital Billing | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Elizabeth Matheny Wolfe | Physician Assistant | Piedmont Specialty Hospital Billing | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 |
| Judith A Turner | Nurse Practitioner | Piedmont Specialty Hospital Billing | 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 |
| Ryan Carrick | Critical Care (intensivists) | Piedmont Specialty Hospital Billing | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Craig M Patterson | Critical Care (intensivists) | Piedmont Specialty Hospital Billing | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Arvind J Ponnambalam | Critical Care (intensivists) | Piedmont Specialty Hospital Billing | 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 |
| Nathan L Potter | Physician Assistant | Piedmont Specialty Hospital Billing | 745 Poplar Rd, Newnan, GA 30265-1618 |
| Street Address |
1266 HWY 515 S |
| City | JASPER |
| State | GA |
| Zip | 30143-4872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley D Hare | General Surgery | Piedmont Specialty Hospital Billing | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Sarah Latif | Hospitalist | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Dane K Gregory | Anesthesiology | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Traci E Bryan | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Devra E Kiewit | Nurse Practitioner | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| James Wesley Conner | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Nagamalar Raju | Internal Medicine | Piedmont Providers LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Andy M Jaffal | Internal Medicine | Piedmont Hospitalist Physicians LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Rosa L Langella | General Surgery | Piedmont Providers LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Roger Lee Brown | Certified Registered Nurse Anesthetist (crna) | Mountainside Anesthesia Consultants, LLC | 1266 Hwy 515 S, Jasper, GA 30143-4872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory T Rainwater | Family Medicine | Piedmont Medical Care Corporation | 1020 Jl White Dr, Suite 170, Jasper, GA 30143 |
| Nathan Smith | Anesthesiology | Physician Pain Care,p.c. | 49 Gordon Rd, Suite 101, Jasper, GA 30143-1017 |
| Kumi D Swart | Family Medicine | Internal Medicine Associates of Jasper, PC | 51 Gordon Rd, Suite 201, Jasper, GA 30143-1017 |
| Kathleen J Dunn | Clinical Social Worker | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Ann S Pike | Psychologist, Clinical | 201 Cove Rd, Jasper, GA 30143-1356 | |
| Mary L Denton | Clinical Social Worker | 505 Cove Rd, Suite 6, Jasper, GA 30143-1363 | |
| Rose A Darby | Optometry | 800 W Church St, Jasper, GA 30143-1406 | |
| Nathan L Chapman | Chiropractic | 49 Bryant St, F, Jasper, GA 30143-1490 | |
| Karl W Kurth | Chiropractic | 95 N Main St, Jasper, GA 30143-1503 | |
| John T Mauldin Jr. | Clinical Psychologist | John Mauldin Phd LLC | 35 B N Main St, Jasper, GA 30143-1558 |
| Find all physicians in zip 30143 | |||
| City | JASPER |
| Zip Code | 30143 |
| Specialty | GENERAL SURGERY |
| City + Specialty | JASPER + GENERAL SURGERY |
Please comment or provide details below to improve the information on Carliss C Graham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.