CARLETTE GRAHAM (MD, FCCP) – Specialist, NPI 1417921552

CARLETTE GRAHAM (MD, FCCP) is a healthcare provider. based in Stocbridge, Georgia. specializing in PULMONARY DISEASE, INTERNAL MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD, FCCP. The NPI Number for CARLETTE GRAHAM (MD, FCCP) is 1417921552

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
CARLETTE GRAHAM (MD, FCCP)
NPI
1417921552
Phone
(770) 996-6699
Address
915 EAGLES LANDING PKWY
Enumeration Date
15 February 2006
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
7709966699151
Graduation Year
1990 (36 years ago)
PAC ID
2961306360
Group Practice PAC ID
9931013760
Professional Enrollment ID
I20100421000748
Address ID
GA302154873FA132XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

503 PULMONARY DISEASE in GA

Provider Addresses for CARLETTE GRAHAM (MD, FCCP)

  • 915 EAGLES LANDING PKWY

    STOCBRIDGE, GA 302815011

    Phone: (770) 996-6699

    Fax: (770) 997-4790

    Type: Location

  • 6572, River Park Drive, Riverdale, Clayton County, Georgia, 30274, United States

    STE 101

    RIVERDALE, GA 302742550

    Phone: (770) 996-6699

    Fax: (770) 692-2375

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 177 Open Payments records for all available years, with a total value of $3,870.

Total Amount is formed as General ($3,870) + Research ($0) + Ownership ($0) = $3,870.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($1,050).

Total Amount

$3,870

General + Research + Ownership

Payments

177

Total payment records

General Amount

$3,870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2010-04-21

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
I20100421000748IPulmonary DiseaseGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes994401$0
71046X-ray of chest, 2 views258209$0
94010Test to measure expiratory airflow and volume214188$0
94060Test to measure expiratory airflow and volume changes before and after medication administration121117$0
94726Test to determine lung volumes using sensors120116$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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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: 9931013760View full group profile
NameSpecialtyState
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseGA
Pulmonary Disease, Critical Care (Intensivists)GA
Pulmonary DiseaseGA
-GA
Sleep Medicine, Pediatric MedicineNY

Reviews

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Frequently asked questions

Is there an official ID for CARLETTE GRAHAM (MD, FCCP) in U.S. healthcare records?
The official identifier for CARLETTE GRAHAM (MD, FCCP) is NPI 1417921552.
Is CARLETTE GRAHAM (MD, FCCP) still an active registrant?
CARLETTE GRAHAM (MD, FCCP) carries an active NPI according to the public dataset.
What kind of doctor is CARLETTE GRAHAM (MD, FCCP)?
CARLETTE GRAHAM (MD, FCCP) is associated with Other Service Providers in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with CARLETTE GRAHAM (MD, FCCP)?
Directory geography for CARLETTE GRAHAM (MD, FCCP) centers on Stocbridge, Georgia.
Does CARLETTE GRAHAM (MD, FCCP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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