NPIMap

Individual provider Active NPI

James Patrick McGraw III, MPAS, PA

  • Physician Assistant
  • Oldsmar, FL
National Provider Identifier
1114129749
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003547 Issued in GA
Practice address
120 State St E Ste 104
Oldsmar, FL 34677-3647
Phone
(813) 556-7440
Fax
(813) 738-0200
NPI assigned
Jun 5, 2007
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Medical Physician Assistant 363AM0700X PA9116801 FL
Physician Assistant 363A00000X 003547 GA Primary

Addresses

Primary practice location

120 State St E Ste 104
Oldsmar, FL 34677-3647

Mailing address

508 SW 29TH Ave
Cape Coral, FL 33991-1158
Phone (404) 993-9820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080305000667 GA Practitioner - Physician Assistant 3779668421 Reassigns benefits to 3 organizations
I20230518000136 FL Practitioner - Physician Assistant 3779668421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Regeneration and Anti-Aging ofGroup PAC ID 8527479021, 2 clinicians

Practice addresses (Care Compare)

120 State St E
Suite 104
Oldsmar, FL 34677-3647
Phone (813) 556-7440

1601 Georgian Park
Suite Terrace
Peachtree City, GA 30269-6968
Phone (678) 834-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116801FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Multi-Specialty Past Accepting new patients
Perimeter Orthopaedics, P.C. Multi-Specialty Past Accepting new patients
Omaha Orthopedic Clinic & Sports Medicine PC Multi-Specialty Past Accepting new patients
Joint Regeneration and Anti-Aging of Newnan Multi-Specialty Past Accepting new patients
Peachtree Orthopaedic Clinic PA Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21378/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1114129749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SW 29TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339911158",
            "telephone_number": "404-993-9820",
            "fax_number": "813-738-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STATE ST E STE 104",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773647",
            "telephone_number": "813-556-7440",
            "fax_number": "813-738-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MPAS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9116801",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

Verify at the official NPI Registry.