DR. HEATH ROSS GRAHAM (M.D.) – Obstetrics & Gynecology Physician, NPI 1104828698

DR. HEATH ROSS GRAHAM (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 047087 (GA). The NPI Number for DR. HEATH ROSS GRAHAM (M.D.) is 1104828698

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATH ROSS GRAHAM (M.D.)
NPI
1104828698
Phone
(404) 303-1224
Address
5780 PEACHTREE DUNWOODY ROAD
Enumeration Date
15 August 2005
Last Update Date
23 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706230910
Graduation Year
1995 (31 years ago)
PAC ID
6204858491
Group Practice PAC ID
1951396639
Professional Enrollment ID
I20060103000235
Address ID
GA300973519JO11459PKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for DR. HEATH ROSS GRAHAM (M.D.)

  • Peachtree Dunwoody Road, Atlanta, Georgia, 30326, United States

    SUITE 300

    ATLANTA, GA 303421513

    Phone: (404) 303-1224

    Fax: (404) 303-1325

    Type: Mailing

  • Dermatology Consultants, 4800, Olde Towne Parkway Northeast, Mount Bethel, Marietta, Georgia, 30068, United States

    SUITE 150

    MARIETTA, GA 300684357

    Phone: (770) 977-1510

    Fax: (770) 509-8858

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $896.

Total Amount is formed as General ($896) + Research ($0) + Ownership ($0) = $896.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($259).

Total Amount

$896

General + Research + Ownership

Payments

37

Total payment records

General Amount

$896

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060103000235IObstetrics/GynecologyGATBD

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 30342)

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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: 1951396639View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YIN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. HEATH ROSS GRAHAM (M.D.)?
NPI 1104828698 is assigned to DR. HEATH ROSS GRAHAM (M.D.) under the national enumeration system.
Is DR. HEATH ROSS GRAHAM (M.D.)'s NPI currently valid?
The extract we use shows DR. HEATH ROSS GRAHAM (M.D.) as active.
What field does DR. HEATH ROSS GRAHAM (M.D.) work in?
You can think of DR. HEATH ROSS GRAHAM (M.D.) as practicing within Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. HEATH ROSS GRAHAM (M.D.)?
The page summarizes Atlanta, Georgia for DR. HEATH ROSS GRAHAM (M.D.); expand the address list for detail.
Is DR. HEATH ROSS GRAHAM (M.D.) a real provider?
This page reflects official NPPES data for NPI 1104828698. Always confirm identity and privileges with the practice and licensing boards.

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