MR. RANDALL W GRAHAM CRNA
NPI 1184647885
Nurse Anesthetist, Certified Registered in Laurel, MS
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Randall Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laurel, MS 39440
- Reassigned Medicare billing, Mississippi enrollment
- 205 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MSPhysician 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.
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
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.
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 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.
Where is Randall Graham located?
Randall Graham practices at 1220 Jefferson St, Laurel, MS 39440. The listed phone number is (601) 399-6169.
What is Randall Graham's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Randall Graham enrolled in Medicare?
Yes. Randall Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Randall Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Graham reassigns Medicare benefits to South Central Clinics, Inc. (Laurel, MS). The 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 Randall Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Graham accept?
Health plans from Oscar Health Plan, Inc. list Randall 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.
Is Randall Graham affiliated with any hospitals?
According to CMS data, Randall Graham is affiliated with South Central Reg Med Ctr.
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 26 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.
# Mr. Randall W Graham, CRNA · NPI 1184647885
Nurse Anesthetist, Certified Registered physician in Laurel, Mississippi. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1184647885 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R852105 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 JEFFERSON ST, Laurel, MS 39440-4355
- **Phone:** (601) 399-6169 · **Fax:** (601) 399-6281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** South Central Clinics, Inc. (NPI 1528918919, Laurel, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1184647885) · Data from the CMS NPPES public registry.