Stacy L Graham (NPI# 1245699024, PAC ID# 4789975442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1245699024 |
| PAC ID by PECOS | 4789975442 |
| Professional Enrollment ID | I20160628000732 |
| Full Name | Stacy L Graham |
| Organization Legal Name | BENNY J GREEN MD PA |
| Address |
14309 Cantrell Rd Suite 7 Little Rock AR 72223-4230 |
| Phone Number | 5012246727 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8628021508 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040114 | BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK |
| Address | Phone | Organization |
|---|---|---|
| 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 | 5012246727 | BENNY J GREEN MD PA |
| Organization Legal Name | BENNY J GREEN MD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benny J Green | Family Medicine | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Street Address |
14309 CANTRELL RD SUITE 7 |
| City | LITTLE ROCK |
| State | AR |
| Zip | 72223-4230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benny J Green | Family Medicine | Benny J Green Md Pa | 14309 Cantrell Rd, Suite 7, Little Rock, AR 72223-4230 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly K Reynolds | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Julia M Watkins | Obstetrics/gynecology | West Little Rock Womens Center Pa | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1709 |
| Chad Dawson | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Traci A Kiernan | Chiropractic | Natural State Health Center, LLC | 12911 Cantrell Rd, Suite 4, Little Rock, AR 72223-1710 |
| Celina Cecile Watson | Optometry | 12400 Cantrell Rd, Suite 4, Little Rock, AR 72223-1728 | |
| Terri Martin | Dermatology | Arkansas Family Care Network | 16115 St Vincent Way, 300 Pinnacle Dermatology, Little Rock, AR 72223-3000 |
| Sarah Elizabeth Hays | Chiropractic | 14300 W Cantrell Rd, Suite 10, Little Rock, AR 72223-4216 | |
| Kelley J Glenn | Physical Therapy | Physical Therapy Advantage LLC | 6 Seven Acres Dr, Suite A, Little Rock, AR 72223-4533 |
| Rhoda M Hooper | Occupational Therapy | Physical Therapy Advantage LLC | 6 Seven Acres Dr, Suite A, Little Rock, AR 72223-4533 |
| Jonathan D Jameson | Chiropractic | 5507 Ranch Dr, Suite 3, Little Rock, AR 72223-4538 | |
| Find all physicians in zip 72223 | |||
| City | LITTLE ROCK |
| Zip Code | 72223 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LITTLE ROCK + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacy 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.