What is Jackie Graham's NPI number?

Jackie Graham's National Provider Identifier (NPI) is 1497851166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jackie Graham's specialty?

Jackie Graham is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).

Where is Jackie Graham located?

Jackie Graham's practice location on file with NPPES is 1600 Se Main St Ste E, Roswell, NM 88203-5423.

What is Jackie Graham's phone number?

The practice phone number listed in the NPPES registry for Jackie Graham is (505) 623-8100.

Is Jackie Graham's NPI active?

Yes — Jackie Graham's NPI (1497851166) is active in the NPPES registry as of the last update on 2008-07-08.

IndividualActive

Jackie Graham, M.D.

NPI 1497851166 · Dermatology Physician · Roswell, NM

Jackie Graham, M.D. is a Dermatology Physician provider in Roswell, NM (NPI 1497851166).

Provider details

NPI number: 1497851166
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 74-39 (NM)

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000XLicense 74-39 (NM)
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

More NM providers

Mailing address