DR. DONALD GRAHAM (NPI# 1639287949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639287949 |
| Entity Type | Individual |
| Full Name | DR. DONALD GRAHAM |
| Credential | D.O. |
| Practice Address |
1211 Merchants Way Suite 401 Statesboro GA 30458-0867 |
| Practice Telephone | 9128717777 |
| Practice Fax Number | 9128717172 |
| Mailing Telephone | 9128717777 |
| Mailing Fax Number | 9128717172 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 057629 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831440593 | Donald Gene Graham | Radiologic Technologist | 2751 Woodlake Rd Sw Apt 2, Wyoming, MI 49519-4653 | 2012-09-20 |
| 1982927885 | Donald George Graham | Nurse Practitioner | 332 Greenway Dr, Penn Hills, PA 15235-3750 | 2010-03-05 |
| 1063634251 | Donald E Graham | Social Worker | 303 E Tioga St, Allentown, PA 18103-8210 | 2007-05-03 |
| 1295229409 | Donald Graham | Social Worker | 55 Fruit St, Boston, MA 02114-2621 | 2018-06-20 |
| 1053866087 | Donald Alexander Graham | Plastic Surgery | 225 Abraham Flexner Way, Suite 850, Louisville, KY 40202-1882 | 2016-08-19 |
| 1932481710 | Donald Bruce Graham | Pharmacist | 205 W 27th St, Scottsbluff, NE 69361-4307 | 2011-09-16 |
| 1750573580 | Donald Bradley Graham | Social Worker | 6909 E Highway 22, Panama City, FL 32404-2370 | 2007-08-15 |
| 1508962366 | Donald R. Graham | Internal Medicine | 301 N 8th St, Springfield, IL 62701-1041 | 2006-09-16 |
| 1831132265 | Donald R Graham | Emergency Medicine | 342 Fairview St, Silverton, OR 97381-1917 | 2006-06-14 |
| 1730136656 | Donald Graham | Surgery | 1508 W 22nd St, Ste 101, Sioux Falls, SD 57105-1508 | 2006-05-27 |
| Street Address |
1211 MERCHANTS WAY SUITE 401 |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458-0867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336572049 | Access Gastroenterolgy, Inc. | Specialist | 1601 Fair Rd Suite 500, Statesboro, GA 30438 | 2013-08-16 |
| 1477992725 | Orthopedic Center PC | Specialist | 16915 Highway 67 South Suite A, Statesboro, GA 30458 | 2013-06-20 |
| 1295999795 | East Georgia Pediatrics | Specialist | 715 Northside Dr E, Suite 5 Pmb 398, Statesboro, GA 30458-4712 | 2008-07-14 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1235266800 | Savannah Allergy Associates, P.C. | Specialist | 4 Bulloch St, Statesboro, GA 30458-0731 | 2007-02-28 |
| 1770670259 | Catherine K Dickens | Specialist | 0404 Forrest Dr, Georgia Southern University Health Services, Statesboro, GA 30460-0001 | 2006-10-06 |
| 1750488011 | East Ga Regional Eye Center | Specialist | 21 N Zetterower Ave, Statesboro, GA 30458-7142 | 2006-09-20 |
| 1063443810 | David Hale Weems | Specialist | 27 Lester Rd, Statesboro, GA 30458-4764 | 2006-07-06 |
| 1538122478 | Sidney R Washington IIi | Specialist | 1878 Brannen Lake Rd, Statesboro, GA 30458-7257 | 2006-04-11 |
| 1720476237 | Betty Parrish | Specialist | 1310 Brampton Ave, Statesboro, GA 30458 | 2015-01-06 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on DR. DONALD 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.