Healthcare Provider Details

I. General information

NPI: 1043249386
Provider Name (Legal Business Name): JOHN MELBOURNE MCGRAW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 SAM NEWELL RD STE 100
MATTHEWS NC
28105-7593
US

IV. Provider business mailing address

1470 MARIA LN STE 100
WALNUT CREEK CA
94596-5339
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-3637
  • Fax: 704-321-4940
Mailing address:
  • Phone: 925-944-3434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA49693
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2019-02895
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC1-0013453
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: