GRAHAM FAMILY CARE LLC
NPI 1891345039
Nurse Practitioner - Family in Brandenburg, KY

Active since September 19, 2019CLIA 18D2172823 · Waiver
2025 BYPASS RD STE 205, BRANDENBURG, KY 40108(270) 998-1064 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2023, Dec 2, 2019, Sep 19, 2019 (3 updates tracked since 2019).

About Graham Family Care Llc NPPES

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

GRAHAM FAMILY CARE LLC (NPI 1891345039) is a healthcare organization registered as a family in Brandenburg, Kentucky and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Tamara Graham, Family Practitoner, as its authorized official.

NPPES Registry Identity

NPI1891345039
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRAHAM FAMILY CARE LLC
Location Address2025 BYPASS RD STE 205Brandenburg, KY 40108-1605
Mailing Address2025 Bypass Rd Ste 205Brandenburg, KY 40108-1605 · (270) 998-1064
Organization SubpartNo
Authorized OfficialTamara GrahamFamily Practitoner · (270) 547-8677
Enumeration DateSeptember 19, 2019
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1891345039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2025 BYPASS RD STE 205, Brandenburg, KY 40108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Graham Family Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1972953321
9200 SHELBYVILLE RD STE 530
Louisville, KY 40222
(502) 327-9100
✔ PECOS✔ Accepts Medicare38 mi

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 18D2172823

Graham Family Care · Brandenburg, KY
Active · expires Sep 30, 2027
CLIA Number18D2172823
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorMs. Tamara E. Graham
Laboratory Phone(270) 998-1064
Laboratory LocationGraham Family Care2025 Bypass Rd, Suite 205, Brandenburg, KY 40108
CLIA data matches this NPI record on: Address Name 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 Family Care LLC's NPI number?

The NPI number for Graham Family Care LLC is 1891345039. It was assigned to this organization in the NPPES registry on September 19, 2019.

Where is Graham Family Care LLC located?

Graham Family Care LLC is located at 2025 Bypass Rd Ste 205, Brandenburg, KY 40108. The listed phone number is (270) 998-1064.

What is Graham Family Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Graham Family Care LLC enrolled in Medicare?

Yes. Graham Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graham Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Graham Family Care LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Graham Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2172823) is associated with this NPI, valid through September 30, 2027. 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 Family Care LLC was last updated on March 14, 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.