CODY GRAHAM – Certified Registered Nurse Anesthetist, NPI 1285348201

CODY GRAHAM is a healthcare provider. based in Pensacola, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 871969 (TX). The NPI Number for CODY GRAHAM is 1285348201

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
CODY GRAHAM
NPI
1285348201
Phone
Not provided
Address
28 N PALAFOX ST
Enumeration Date
13 January 2023
Last Update Date
23 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9567965000
Graduation Year
2022 (4 years ago)
PAC ID
9335514777
Group Practice PAC ID
3678966819
Professional Enrollment ID
I20230417001582
Address ID
TX780415474LA1700XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for CODY GRAHAM

  • 28 N PALAFOX ST

    PENSACOLA, FL 325025626

    Phone:

    Type: Mailing

  • 1801 N OREGON ST

    EL PASO, TX 799023524

    Phone: (915) 521-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230417001582ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20240516002862ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32502)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678966819View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YNM
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Does CODY GRAHAM share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CODY GRAHAM uses 1285348201.
Is CODY GRAHAM still practicing?
CODY GRAHAM is currently listed as active in the public NPI registry.
What is CODY GRAHAM's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for CODY GRAHAM here. Clinical services aligned with this taxonomy classification.
Where is CODY GRAHAM based?
CODY GRAHAM is tied to Pensacola, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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