GRAHAM MEDICAL GROUP-CANTON
NPI 1205072626
Clinic/Center - Rural Health in Canton, IL

Active since January 07, 2009CLIA 14D2281372 · Waiver
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-5302 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Graham Medical Group-canton NPPES

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

GRAHAM MEDICAL GROUP-CANTON (NPI 1205072626) is a healthcare organization registered as a rural health in Canton, Illinois and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Julie Reeder, Vp Of Finance/cfo, as its authorized official.

NPPES Registry Identity

NPI1205072626
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGRAHAM HOSPITAL ASSOCIATION
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5302
Fax(309) 649-5302
Organization SubpartNo
Authorized OfficialJulie ReederVp Of Finance/cfo · (309) 647-5240
Enumeration DateJanuary 7, 2009
Last NPPES UpdateOctober 23, 2018
✔ NPI 1205072626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
180 S MAIN ST, Canton, IL 61520

Other Names 1

Doing Business AsGraham Medical Group-canton

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

Accepted Insurance

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 Medical Group-canton 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 Medical Group-Canton, which bills Medicare for the services they deliver. Of these, 29 practice at this address and 44 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
General Surgery
NPI 1912261306
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1598020836
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265890685
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1487762035
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063976058
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629420229
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1407201940
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1669887527
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902276207
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699204750
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Pain Management
NPI 1962492900
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841649662
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699883868
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235659475
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1891794004
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1275678021
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1376535435
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760604193
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1760897334
180 S MAIN ST
Canton, IL 61520
(096) 470-2013
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1912940958
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts MedicareSame address
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 14D2281372

Graham Medical Group - Convenient Care · Canton, IL
Active · expires May 4, 2027
CLIA Number14D2281372
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorPatrick B. Renick
Laboratory Phone(309) 647-0201
Laboratory LocationGraham Medical Group - Convenient Care126 N Fifth Ave, Canton, IL 61520
CLIA data matches this NPI record on: 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 1205072626. It was assigned to this organization in the NPPES registry on January 7, 2009. The provider is doing business as Graham Medical Group-Canton.

Where is Graham Hospital Association located?

Graham Hospital Association is located at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Graham Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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, 29 practice at this address and 44 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 14D2281372) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Graham Hospital Association accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Graham Hospital Association 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 Graham Hospital Association was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.