Individual provider Active NPI

Reta Brashears Graham, MD

  • Obstetrics & Gynecology Physician
  • Hendersonville, NC
National Provider Identifier
1114125036
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200500195 Issued in NC
Practice address
100 Hospital Dr
Hendersonville, NC 28792-5272
Phone
(828) 681-2115
NPI assigned
Jul 3, 2007
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 200500195 NC
Obstetrics Physician 207VX0000X 200500195 NC
Obstetrics & Gynecology Physician 207V00000X 200500195 NC Primary

Addresses

Primary practice location

100 Hospital Dr
Hendersonville, NC 28792-5272

Mailing address

101 Cumberland Ave
Asheville, NC 28801-1711

Other identifiers 1

IdentifierTypeStateIssuer
1114125036MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rgraham@obhg.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130829000440 NC Practitioner - Obstetrics/Gynecology 9032201611 Reassigns benefits to 2 organizations
I20220323002399 SC Practitioner - Obstetrics/Gynecology 9032201611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arkansas College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 102
Albemarle, NC 28001-3458
Phone (980) 323-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc Obstetrics & Gynecology CurrentSince Sep 11, 2023 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Jan 11, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 11, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Dec 9, 2021 Accepting new patients
OB-GYN Associates, LTD. Obstetrics & Gynecology Past Accepting new patients

Locations

105 Yadkin St
Ste 102
Albemarle, NC 28001
Phone (704) 982-1590

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: rgraham1239990@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1114125036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CUMBERLAND AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288011711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925272",
            "telephone_number": "828-681-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "RETA",
        "middle_name": "BRASHEARS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "200500195",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NC",
            "license": "200500195",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "200500195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114125036",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rgraham@obhg.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "100 Hospital Dr",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287925272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.