Brooke Graves, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001007169 Issued in NC

Practice address

104 College Dr
Flat Rock, NC 28731-7756

Phone

(800) 226-8874

NPI assigned

Apr 2, 2017

Last updated

Jul 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Brooke Graves Professional name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• QSM-NC, PA

  • Surgery Physician
  • Durham, NC
  • NPI 1881136893
  Medicare reassignment
• QSM-Ky, Inc

  • General Practice Physician
  • Hollywood, FL
  • NPI 1114539202

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1053843664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLLEGE DR",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287317756",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Talisman Dr",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298414032",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S Ocean Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330192915",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "BROOKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001007169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "GRAVES",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Olivia Gage Gamboa, MD
• Patrick W Garrison, DDS
• William T Garrison, DDS
• Daniell Miller Gold
• Catherine Doan Gordon, NP-C
• Ryan John Haldeman, D.D.S,M.S.
• Carrie Jeannine Hall, APRN, BC
• Hand With Heart Therapy, Inc
• Patricia Ann Hart, MD
• Kathleen Claire Harvey, FNP

• Physician Assistant in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.