1. Home
  2. Directory
  3. Illinois
  4. Macomb
  5. Family Medicine
  6. NPI Profile

GRAHAM MEDICAL GROUP MACOMB
NPI 1780321117
Family Medicine in Macomb, IL

Active since May 17, 2022CLIA 14D2347857 · Waiver
1630 E JACKSON ST, MACOMB, IL 61455(309) 647-0201 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 28, 2023, May 17, 2022 (2 updates tracked since 2022).

About Graham Medical Group Macomb NPPES

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

GRAHAM MEDICAL GROUP MACOMB (NPI 1780321117) is a healthcare organization registered as a family medicine in Macomb, Illinois and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through July 26, 2028 and lists Julie Reeder, Vice President Of Finance & Cfo, as its authorized official.

NPPES Registry Identity

NPI1780321117
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAHAM HOSPITAL ASSOCIATION
Location Address1630 E JACKSON STMacomb, IL 61455-2530
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 647-8613
Phone(309) 647-0201
Organization SubpartNo
Authorized OfficialJulie ReederVice President Of Finance & Cfo · (309) 647-5240
Enumeration DateMay 17, 2022
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1780321117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1630 E JACKSON ST, Macomb, IL 61455
Open in Google Maps ↗

Other Names 1

Doing Business AsGraham Medical Group Macomb

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 14D2347857

Graham Medical Group Macomb · Macomb, IL
Active · expires Jul 26, 2028
CLIA Number14D2347857
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorAshley Howard
Laboratory Phone(309) 252-5191
Laboratory LocationGraham Medical Group Macomb1701 West Jackson, Macomb, IL 61455
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

GRAHAM HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
1630 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 647-5240

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 1780321117. It was assigned to this organization in the NPPES registry on May 17, 2022. The provider is doing business as Graham Medical Group Macomb.

Where is Graham Hospital Association located?

Graham Hospital Association is located at 1630 E Jackson St, Macomb, IL 61455. The listed phone number is (309) 647-0201.

What is Graham Hospital Association's specialty?

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

Does Graham Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2347857) is associated with this NPI, valid through July 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graham Hospital Association was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.