Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Michael Clyde Graham, P.A.
Physician Assistant in Potlatch, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1205901477
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Registry record
Entity type Individual (Type 1)
Name Mr. Michael Clyde Graham
Credential P.A.
Sex Male
Practice address 225 6th St, Potlatch, ID, 83855
Phone (208) 883-2220
Enumeration date Nov 22, 2006
Last updated in NPPES Jun 20, 2012
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA594 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807364300 | Medicaid | ID | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Michael Graham practice?
The practice location on file with NPPES is in Potlatch, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Graham?
The National Provider Identifier (NPI) for Michael Graham is 1205901477, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-20.