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GRAHAM HOSPITAL ASSOCIATION
NPI 1134057896
Family Medicine in Macomb, IL

Active since May 12, 2026CLIA 14D2319730 · Waiver
1701 W JACKSON ST, MACOMB, IL 61455(309) 647-5240 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Graham Hospital Association NPPES

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

GRAHAM HOSPITAL ASSOCIATION (NPI 1134057896) is a healthcare organization registered as a family medicine in Macomb, Illinois and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Julie Reeder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1134057896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAHAM HOSPITAL ASSOCIATION
Location Address1701 W JACKSON STMacomb, IL 61455-3176
Mailing Address210 W Walnut StCanton, IL 61520-2497 · (309) 649-5240
Phone(309) 647-5240
Organization SubpartNo
Authorized OfficialJulie ReederCfo · (309) 647-5240
Enumeration DateMay 12, 2026
NPPES CertifiedMay 12, 2026
✔ NPI 1134057896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 W JACKSON ST, Macomb, IL 61455
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graham Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

132

Medicare enrollment records show 132 clinicians reassign Medicare billing to Graham Hospital Association, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Nurse Practitioner53
Diagnostic Radiology28
Family Practice10
Cardiovascular Disease (Cardiology)5
Emergency Medicine5
Obstetrics/Gynecology4
Urology4
Certified Registered Nurse Anesthetist (CRNA)3
11 other specialties20

Nearest to this location (20)

See all 132
Andrea Lawrence, APRN
Nurse Practitioner
NPI 1215563143
700 N GLENOAK DR
Macomb, IL 61455
(309) 337-5659
✔ PECOS✔ Accepts Medicare0.7 mi
Tracy Iversen, PMHNP
Nurse Practitioner
NPI 1063261345
724 E CARROLL ST
Macomb, IL 61455
(309) 249-0604
✔ PECOS✔ Accepts Medicare1.9 mi
Ladawna Royer, APN
Nurse Practitioner
NPI 1215408968
525 E GRANT ST
Macomb, IL 61455
(309) 833-4101
✔ PECOS✔ Accepts Medicare1.9 mi
Susan Adams, RN, APN
Nurse Practitioner
NPI 1922004332
1600 E JACKSON ST
Macomb, IL 61455
(309) 833-4101
✔ PECOS✔ Accepts Medicare2.6 mi
Dawn Knutson, NP-C
Nurse Practitioner
NPI 1700544285
200 N JACKSON ST
Blandinsville, IL 61420
(309) 252-0213
✔ PECOS✔ Accepts Medicare11 mi
Kylee Decapp, FNP
Nurse Practitioner
NPI 1639962210
408 S MAIN ST
Lewistown, IL 61542
(309) 547-9700
✔ PECOS✔ Accepts Medicare29 mi
Debra Katchen, M.D.
Family Practice
NPI 1427057942
2 AMERICINN WAY SUITE B
Monmouth, IL 61462
(309) 734-0100
✔ PECOS✔ Accepts Medicare32 mi
Dwayne Bernard, MD
Emergency Medicine
NPI 1043270663
500 WESTWOOD BLVD
Canton, IL 61520
(309) 647-8252
✔ PECOS✔ Accepts Medicare35 mi
Edrick Ferguson, M.D.
Diagnostic Radiology
NPI 1659365872
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare35 mi
Keith Ifft, M.D.
Anesthesiology
NPI 1497723084
210 W WALNUT ST
Canton, IL 61520
(309) 360-2600
✔ PECOS✔ Accepts Medicare35 mi
Hope Marlow, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891504338
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare35 mi
Jacey Downing, LCPC
Mental Health Counselor
NPI 1578685954
229 MARTIN AVE
Canton, IL 61520
(309) 647-1881
✔ PECOS✔ Accepts Medicare35 mi
Thomas Patterson, MD
Urology
NPI 1568460970
834 N SEMINARY ST SUITE 502
Galesburg, IL 61401
(309) 343-2262
✔ PECOS✔ Accepts Medicare37 mi
Michael Scherer, DPM
Podiatry
NPI 1649265133
834 N SEMINARY STREET STE 406
Galesburg, IL 61401
(309) 341-1300
✔ PECOS✔ Accepts Medicare37 mi
Matthew Weidman, MD
Pediatric Medicine
NPI 1134226145
2028 N SEMINARY ST
Galesburg, IL 61401
(309) 647-0201
✔ PECOS40 mi
Jason Chamberlin, DO
Internal Medicine
NPI 1831207349
601 E FORT ST
Farmington, IL 61531
(309) 245-2406
✔ PECOS✔ Accepts Medicare40 mi
Michelle Locke, LCSW
Clinical Social Worker
NPI 1881350049
26794 E MONTEREY RD
Canton, IL 61520
(309) 645-3078
✔ PECOS✔ Accepts Medicare40 mi
Erin Bailey, M.D.
General Surgery
NPI 1912261306
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare42 mi
Brett Barnhart, MD
Orthopedic Surgery
NPI 1487762035
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare42 mi
Alyssa Crawford
Obstetrics/Gynecology
NPI 1407201940
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare42 mi
See all 132 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2319730

Graham Hospital Association Laboratory · Canton, IL
Active · expires Mar 5, 2027
CLIA Number14D2319730
Laboratory TypeHospital
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorRonald Champagne
Laboratory Phone(309) 647-5240
Laboratory LocationGraham Hospital Association Laboratory180 S Main St, Canton, IL 61520
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Graham Hospital Association's NPI number?

The NPI number for Graham Hospital Association is 1134057896. It was assigned to this organization in the NPPES registry on May 12, 2026.

Where is Graham Hospital Association located?

Graham Hospital Association is located at 1701 W Jackson St, Macomb, IL 61455. The listed phone number is (309) 647-5240.

What is Graham Hospital Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Graham Hospital Association enrolled in Medicare?

Yes. Graham Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graham Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 132 clinicians in 19 Medicare specialties reassign their Medicare billing to Graham Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (53), Diagnostic Radiology (28) and Family Practice (10). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Graham Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2319730) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graham Hospital Association was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.