MRS. ANGELA GRAHAM (CFNP) – Family Nurse Practitioner, NPI 1407884356
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,566 NURSE PRACTITIONER in MS
Provider Addresses for MRS. ANGELA GRAHAM (CFNP)
1100 Highway 16 E
Carthage, MS 390514222
Phone: (601) 267-1470
Fax: (601) 267-1469
Type: Location
PO BOX 82
SEBASTOPOL, MS 393590082
Phone: (601) 267-1320
Fax: (601) 267-5422
Type: Location
Ridge Lake Boulevard, White Station, Memphis, Shelby County, Tennessee, 38120, United States
MEMPHIS, TN 381209446
Phone: (901) 227-3255
Fax: (901) 227-8591
Type: Mailing
Ronald Reagan Cross County Highway, Hartwell, Cincinnati, Hamilton County, Ohio, 45216, United States
CARTHAGE, MS 39051
Phone: (601) 267-1470
Fax: (601) 267-1469
Type: Location
965 RIDGE LAKE BLVD STE 315
MEMPHIS, TN 381209401
Phone:
Type: Mailing
17509 HIGHWAY 21 SOUTH
SEBASTOPOL, MS 393590082
Phone: (601) 267-1320
Fax: (601) 267-5422
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2024-07-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($62).
Total Amount
$189
General + Research + Ownership
Payments
12
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $62 |
| Novo Nordisk Inc | $46 |
| Amgen Inc. | $33 |
| ABBVIE INC. | $19 |
| GlaxoSmithKline, LLC. | $15 |
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: 2007-06-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070625000419 | I | Nurse Practitioner | MS | TBD |
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.
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 39051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Nurse Practitioner | AR | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | NC | |
| - | MS | |
| - | MS |
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