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Jack L Graham, MD, PC

Dermatology Physician in Roswell, NM · enumerated 2006 · authorized official Jack Graham, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285730952

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Registry record

Entity type Organization (Type 2)
Legal business name Jack L Graham, MD, PC
Practice address 1600 Se Main St Ste E, Roswell, NM, 88203
Phone (505) 623-8100
Fax (505) 623-8101
Enumeration date Sep 16, 2006
Last updated in NPPES Jul 11, 2008

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 74-39 (NM) Primary

Authorized official

Name Jack Graham
Title Owner
Phone (505) 623-8100

Other identifiers

Identifier Type State Issuer
11023 Medicaid NM -

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Jack L Graham, MD, PC?
Jack L Graham, MD, PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-11.