CHERYL LYNN GRAHAM (NPI# 1336655976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336655976 |
| Entity Type | Individual |
| Full Name | CHERYL LYNN GRAHAM |
| Practice Address |
3685 Old Petersburg Rd Ste 105 Martinez GA 30907-0827 |
| Mailing Address |
155 Morehead Dr Martinez GA 30907-1396 |
| Practice Telephone | 7062849481 |
| Mailing Telephone | 7062849481 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN173280 | GA | Nursing Service Providers |
| Y | 163WM1400X |
Registered Nurse Specialization: Nurse Massage Therapist (NMT) |
MT010651 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164892162 | Cheryl Graham | Licensed Practical Nurse | 105 N Clove Rd, Verbank, NY 12585-5207 | 2015-10-02 |
| 1730521832 | Cheryl Catherine Graham | Chiropractor | 1595 38th Ave, Capitola, CA 95010-2901 | 2013-07-18 |
| 1528211661 | Cheryl F Graham | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2008-11-03 |
| 1225219207 | Cheryl Ann Graham | Registered Nurse | 803 Sterling Pl, Brooklyn, NY 11216-3903 | 2007-11-19 |
| 1588789390 | Cheryl L.m Graham | Social Worker | 314 W Superior St, 702, Duluth, MN 55802-1805 | 2007-03-20 |
| 1275531733 | Cheryl Rae Graham | Nurse Practitioner | 231 E Chestnut St, Louisville, KY 40202-1821 | 2005-07-08 |
| Street Address |
3685 OLD PETERSBURG RD STE 105 |
| City | MARTINEZ |
| State | GA |
| Zip Code | 30907-0827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205212149 | Balance Bodywork | Specialist | 3685 Old Petersburg Rd Ste 105, Martinez, GA 30907-0827 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 163WM1400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Nurse Massage Therapist (NMT) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225402613 | Mary Virginia Stallings | Registered Nurse | 2574 Beal St, Snellville, GA 30078-3367 | 2015-11-23 |
| 1336447291 | Miriam Finley | Registered Nurse | 1714 East Lamar Street, Americus, GA 31709 | 2011-03-02 |
| 1336190438 | Barbara Fay Jockers | Registered Nurse | 1220 Chatuge Cir, Hiawassee, GA 30546-1825 | 2006-05-13 |
| 1013539071 | Veronica Cohen | Registered Nurse | 1103 Russell Pkwy, Warner Robins, GA 31088-5537 | 2020-05-13 |
Please comment or provide details below to improve the information on CHERYL LYNN 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.