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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN130303 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| Street Address |
1101 OCILLA RD |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-2207 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 |
| Find all providers in DOUGLAS | ||||
Please comment or provide details below to improve the information on MRS. BEVERLY DENISE 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.