OrganizationActive
Jack L Graham, MD, PC
NPI 1285730952 · Dermatology Physician · Roswell, NM
Jack L Graham, MD, PC is a Dermatology Physician organization in Roswell, NM (NPI 1285730952).
Provider details
- NPI number
- 1285730952
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jack Graham, Owner(505) 623-8100
- License
- 74-39 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1600 Se Main St Ste E
Roswell, NM 88203-5423
Phone: (505) 623-8100
Fax: (505) 623-8101
Street-level locationGet directions
Mailing address
1600 Se Main St Ste E
Roswell, NM 88203-5423
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2008-07-11
Frequently asked questions
- What is Jack L Graham, MD, PC's NPI number?
- Jack L Graham, MD, PC's National Provider Identifier (NPI) is 1285730952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack L Graham, MD, PC?
- Jack L Graham, MD, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack L Graham, MD, PC located?
- Jack L Graham, MD, PC's practice location on file with NPPES is 1600 Se Main St Ste E, Roswell, NM 88203-5423.
- What is Jack L Graham, MD, PC's phone number?
- The practice phone number listed in the NPPES registry for Jack L Graham, MD, PC is (505) 623-8100.
- Who is the authorized official for Jack L Graham, MD, PC?
- The authorized official listed on Jack L Graham, MD, PC's NPPES record is Jack Graham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack L Graham, MD, PC's NPI active?
- Yes — Jack L Graham, MD, PC's NPI (1285730952) is active in the NPPES registry as of the last update on 2008-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.