Octavia L Graham (NPI# 1134581549, PAC ID# 9830441658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134581549 |
| PAC ID by PECOS | 9830441658 |
| Professional Enrollment ID | I20190920002904 |
| Full Name | Octavia L Graham |
| Organization Legal Name | MAURY REGIONAL HOSPITAL |
| Address |
1090 N Ellington Pkwy Suite 102 Lewisburg TN 37091-2227 |
| Phone Number | 9313590019 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688569718 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 441309 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 9313590019 | MAURY REGIONAL HOSPITAL |
| 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 | 9317620531 | MAURY REGIONAL MEDICAL GROUP INC |
| Organization Legal Name | MAURY REGIONAL HOSPITAL |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicky D Edwards | Nurse Practitioner | Maury Regional Hospital | 617 W Main St, Hohenwald, TN 38462-1355 |
| Paula A Cole | Nurse Practitioner | Maury Regional Hospital | 101 Jv Mangubat Dr, Waynesboro, TN 38485-2440 |
| Andrew K Nielsen | Internal Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Shakevia V Johnson | Psychiatry | Maury Regional Hospital | 1222 Trotwood Ave, Columbia, TN 38401-6404 |
| Thomas W Farmer | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Charles A Ball | Family Medicine | Maury Regional Hospital | 854 W James Campbell Blvd, Suite 301, Columbia, TN 38401 |
| Miranda D Wood | Physician Assistant | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Lucas Wilmore | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Loretta Davidson | Nurse Practitioner | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Brook Helmer | Family Medicine | Maury Regional Hospital | 1222 Trotwood Ave, Suite 108, Columbia, TN 38401-6404 |
| Street Address |
1090 N ELLINGTON PKWY SUITE 102 |
| City | LEWISBURG |
| State | TN |
| Zip | 37091-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lucas Wilmore | Family Medicine | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Margaret K Murdock | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| John M Douglas | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Shelly M Hargrove | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Louise A Hawkins | Nurse Practitioner | Maury Regional Hospital | 1090 N Ellington Pkwy, Suite 102, Lewisburg, TN 37091-2227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Billingsley | Chiropractic | 1024 E Commerce, Lewisburg, TN 37091 | |
| Lamin Bangura | Family Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| John S Jensen | Pulmonary Disease | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Oliver Patrick Archibald | Internal Medicine | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Karen J Perry | Nurse Practitioner | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Neil E Christopher | Emergency Medicine | Southeastern Emergency Physicians LLC | 1080 Ellington Pkwy, Lewisburg, TN 37091-2227 |
| Timothy A Nash | Internal Medicine | Maury Regional Hospital | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Cenchrea Lanier | Nurse Practitioner | Saint Thomas Medical Partners | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Kanthi Charan Narra | Family Medicine | Maury Regional Hospital | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Michael J Davidson | Family Practice | Maury Regional Medical Group Inc | 1080 N Ellingtion Pkwy, Lewisburg, TN 37091-2227 |
| Find all physicians in zip 37091 | |||
| City | LEWISBURG |
| Zip Code | 37091 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEWISBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Octavia L 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.