Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. RANDALL W GRAHAM CRNA
NPI 1184647885
Nurse Anesthetist, Certified Registered in Laurel, MS

Q: What is Randall Graham's NPI number?

The NPI number for Randall Graham is 1184647885. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Randall Graham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Graham was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since July 25, 2006PECOS Enrolled

1220 JEFFERSON ST, LAUREL, MS 39440(601) 399-6169(601) 399-6281 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

On this page

About Mr. Randall W Graham Crna NPPES

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

MR. RANDALL W GRAHAM CRNA (NPI 1184647885) is an individual nurse anesthetist, certified registered in Laurel, Mississippi, licensed in Mississippi (R852105) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1184647885

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. RANDALL W GRAHAMCredential: CRNA

Location Address1220 JEFFERSON STLaurel, MS 39440-4355

Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6169 · Fax (601) 399-6281

Phone(601) 399-6169

Fax(601) 399-6281

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 25, 2006

Last NPPES UpdateOctober 8, 2026

NPPES CertifiedOctober 8, 2026

✔ NPI 1184647885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MS · R852105

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1220 JEFFERSON ST, Laurel, MS 39440

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Secondary Practice Location 1

Location 11102 Constitution AveMeridian, MS 39301-4001 · Phone (601) 484-3480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Randall W Graham Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587742515

PECOS Enrollment IDI20080416000364

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942

Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250058

Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%588 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MATTHEW MARTIN

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