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

Active since July 25, 2006Accepts Medicare Assignment
1102 CONSTITUTION AVE, MERIDIAN, MS 39301(601) 484-3480 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Meridian, Mississippi, licensed in Mississippi (R852105) and active in the NPI registry since July 2006. He is affiliated with South Central Reg Med Ctr and is a graduate of Other (2004).

NPPES Registry Identity

NPI1184647885
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. RANDALL W GRAHAMCredential: CRNA
Location Address1102 CONSTITUTION AVEMeridian, MS 39301-4001
Mailing AddressPo Box 2429Murrells Inlet, SC 29576-2429 · (843) 651-2624
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 29, 2007
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.
1102 CONSTITUTION AVE, Meridian, MS 39301

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

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 39301 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.

Anesthesiology
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Rehabilitation Unit
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Emergency Medicine
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Anesthetist, Certified Registered
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Anesthetist, Certified Registered
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
General Acute Care Hospital
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Anesthesiology (Pain Medicine)
1102 CONSTITUTION AVE
MERIDIAN, MS 39301
Nurse Practitioner (Family)
1102 CONSTITUTION AVE
MERIDIAN, MS 39301

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 1102 Constitution Ave, Meridian, MS 39301. The listed phone number is (601) 484-3480.

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.

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 November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.