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: October 25, 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
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

Other Names 1

Doing Business AsGraham Medical Group Macomb

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 Macomb 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 Macomb, which bills Medicare for the services they deliver. Of these, 4 practice 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
Nurse Practitioner
NPI 1922004332
1600 E JACKSON ST
Macomb, IL 61455
(309) 833-4101
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1063261345
724 E CARROLL ST
Macomb, IL 61455
(309) 249-0604
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1215408968
525 E GRANT ST
Macomb, IL 61455
(309) 833-4101
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1215563143
700 N GLENOAK DR
Macomb, IL 61455
(309) 337-5659
✔ PECOS✔ Accepts Medicare2.8 mi
Nurse Practitioner
NPI 1700544285
200 N JACKSON ST
Blandinsville, IL 61420
(309) 252-0213
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1639962210
408 S MAIN ST
Lewistown, IL 61542
(309) 547-9700
✔ PECOS✔ Accepts Medicare26 mi
Emergency Medicine
NPI 1043270663
500 WESTWOOD BLVD
Canton, IL 61520
(309) 647-8252
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1427057942
2 AMERICINN WAY SUITE B
Monmouth, IL 61462
(309) 734-0100
✔ PECOS✔ Accepts Medicare32 mi
Diagnostic Radiology
NPI 1659365872
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare33 mi
Anesthesiology
NPI 1497723084
210 W WALNUT ST
Canton, IL 61520
(309) 360-2600
✔ PECOS✔ Accepts Medicare33 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891504338
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare33 mi
Mental Health Counselor
NPI 1578685954
229 MARTIN AVE
Canton, IL 61520
(309) 647-1881
✔ PECOS✔ Accepts Medicare33 mi
Urology
NPI 1568460970
834 N SEMINARY ST SUITE 502
Galesburg, IL 61401
(309) 343-2262
✔ PECOS✔ Accepts Medicare36 mi
Podiatry
NPI 1649265133
834 N SEMINARY STREET STE 406
Galesburg, IL 61401
(309) 341-1300
✔ PECOS✔ Accepts Medicare36 mi
Internal Medicine
NPI 1831207349
601 E FORT ST
Farmington, IL 61531
(309) 245-2406
✔ PECOS✔ Accepts Medicare37 mi
Clinical Social Worker
NPI 1881350049
26794 E MONTEREY RD
Canton, IL 61520
(309) 645-3078
✔ PECOS✔ Accepts Medicare37 mi
Pediatric Medicine
NPI 1134226145
2028 N SEMINARY ST
Galesburg, IL 61401
(309) 647-0201
✔ PECOS38 mi
General Surgery
NPI 1912261306
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare39 mi
Orthopedic Surgery
NPI 1487762035
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare39 mi
Obstetrics/Gynecology
NPI 1407201940
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare39 mi
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 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.

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.

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, 4 practice 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 14D2347857) is associated with this NPI, valid through July 26, 2028. 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 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.