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

EVAN NICOLE GRAHAM MD
NPI 1346944584
Family Medicine in Locust Grove, GA

Active since March 30, 2023PECOS Enrolled
3366 HIGHWAY 42 S STE 110, LOCUST GROVE, GA 30248(770) 898-4339 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, Mar 30, 2023 (2 updates tracked since 2023).

About Evan Nicole Graham Md NPPES

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

EVAN NICOLE GRAHAM MD (NPI 1346944584) is an individual family medicine provider in Locust Grove, Georgia, licensed in Georgia (109938) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Douglasville, and is a graduate of Mercer University School Of Medicine (2023).

NPPES Registry Identity

NPI1346944584
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEVAN NICOLE GRAHAMCredential: MD
Location Address3366 HIGHWAY 42 S STE 110Locust Grove, GA 30248-3039
Mailing Address8954 Hospital DrDouglasville, GA 30134-2272
Phone(770) 898-4339
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2023
Enumeration DateMarch 30, 2023
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1346944584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 109938
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.
3366 HIGHWAY 42 S STE 110, Locust Grove, GA 30248
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Secondary Practice Location 1

Location 18954 Hospital DrDouglasville, GA 30134-2272 · Phone (470) 644-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Nicole Graham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335610716
PECOS Enrollment IDI20260605003509
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30248 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DEANDRA LASHAY WHITE APRNC
Nurse Practitioner (Family)
3366 HIGHWAY 42 S STE 110
LOCUST GROVE, GA 30248
Henry County (770) 898-4339
KATHRYN WEST FNP
Nurse Practitioner (Family)
3366 HIGHWAY 42 S STE 110
LOCUST GROVE, GA 30248
Henry County (770) 898-4339

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 Evan Graham's NPI number?

The NPI number for Evan Graham is 1346944584. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Evan Graham located?

Evan Graham practices at 3366 Highway 42 S Ste 110, Locust Grove, GA 30248. The listed phone number is (770) 898-4339.

What is Evan Graham's specialty?

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

Is Evan Graham enrolled in Medicare?

Yes. Evan Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Graham was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.