MRS. LACEY STARR GRAHAM CRNP
NPI 1124612510
Nurse Practitioner - Family in Dora, AL

Active since February 25, 2021PECOS Enrolled
2391 HIGHWAY 78, DORA, AL 35062(205) 255-7052 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lacey Starr Graham Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LACEY STARR GRAHAM CRNP (NPI 1124612510) is an individual family provider in Dora, Alabama, licensed in Alabama (1-153271) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124612510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LACEY STARR GRAHAMCredential: CRNP
Location Address2391 HIGHWAY 78Dora, AL 35062-5233
Mailing Address5411 Camellia LnTrussville, AL 35173-6322 · (205) 243-1245
Sole ProprietorNo
Enumeration DateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
NPI 1124612510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · 1-153271
2391 HIGHWAY 78, Dora, AL 35062

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lacey Starr Graham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2391 HIGHWAY 78
DORA, AL 35062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Graham's NPI number?

The NPI number for Lacey Graham is 1124612510. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Lacey Graham located?

Lacey Graham practices at 2391 Highway 78, Dora, AL 35062. The listed phone number is (205) 255-7052.

What is Lacey Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lacey Graham enrolled in Medicare?

Yes. Lacey Graham is registered in the Medicare PECOS enrollment system.

What insurance does Lacey Graham accept?

Health plans from UnitedHealthcare list Lacey Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacey Graham was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.