Individual provider Active NPI

Tamara Nicole Graham, PA-C

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1114173846
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110002814 Issued in VA
Practice address
1944 Centerville Tpke Ste 102
Virginia Beach, VA 23464-6839
Phone
(757) 271-4540
Fax
(757) 222-9294
NPI assigned
Aug 13, 2008
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002814 VA Primary

Addresses

Primary practice location

1944 Centerville Tpke Ste 102
Virginia Beach, VA 23464-6839

Mailing address

1944 Centerville Tpke Ste 102
Virginia Beach, VA 23464-6839
Phone (757) 271-4540

Other practice location 1

112 Gainsborough Sq Ste 100
Chesapeake, VA 23320-1706
Phone (757) 410-2287

Other practice location 2

1600 Crossways Blvd Ste A
Chesapeake, VA 23320-2895
Phone (757) 282-4070

Other practice location 3

1933 Edwin Dr Ste 208
Chesapeake, VA 23322-6531
Phone (757) 252-5820

Other practice location 4

213 River Walk Pkwy Ste 101
Chesapeake, VA 23320-6893
Phone (757) 983-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160310001548 NY Practitioner - Physician Assistant 7416188776 Reassigns benefits to 1 organization
I20190107003265 VA Practitioner - Physician Assistant 7416188776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roanoke Valley Healthcare Partners LLCGroup PAC ID 0143490326, 53 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1119 N Military Hwy
Suite 300
Norfolk, VA 23502-2415
Phone (757) 224-3004

1721 Laskin Rd
Suite 101
Virginia Beach, VA 23454-4502
Phone (757) 240-3500

1933 Edwin Dr
Chesapeake, VA 23322-6531

1944 Centerville Tpke
Suite 102
Virginia Beach, VA 23464-6839
Phone (757) 271-4540

325 Volvo Pkwy
Suite 103
Chesapeake, VA 23320-4654
Phone (757) 240-3500

602 Brandon Ave SW
Suite 222
Roanoke, VA 24015-3212
Phone (540) 774-0000

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012721NYMDPhysical Therapy Assistant
0110002814VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 28, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Dec 28, 2015 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Aug 1, 2022 Accepting new patients
Sentara Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Chesapeake Regional Medical Group Physician Assistant CurrentSince Aug 1, 2022 Accepting new patients
Sentara Medical Group Past Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

520 E 70th St
Ste 341
New York, NY 10021
Phone (212) 746-2087

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

112 Gainsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 312-8221

1600 Crossways Blvd
Ste A
Chesapeake, VA 23320
Phone (757) 282-4070

1933 Edwin Dr
Ste 208
Chesapeake, VA 23322
Phone (757) 252-5820

213 River Walk Pkwy
Ste 101
Chesapeake, VA 23320
Phone (757) 382-5245

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1944 Centerville Tpke
Ste 102
Virginia Beach, VA 23464
Phone (757) 271-4540

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1114173846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CENTERVILLE TPKE STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646839",
            "telephone_number": "757-271-4540",
            "fax_number": "757-222-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CENTERVILLE TPKE STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646839",
            "telephone_number": "757-271-4540",
            "fax_number": "757-222-9294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Gainsborough Sq Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201706",
            "country_code": "US",
            "telephone_number": "757-410-2287",
            "fax_number": "757-410-7747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Crossways Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202895",
            "country_code": "US",
            "telephone_number": "757-282-4070",
            "fax_number": "757-440-3288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1933 Edwin Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233226531",
            "country_code": "US",
            "telephone_number": "757-252-5820",
            "fax_number": "757-963-9609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 River Walk Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233206893",
            "country_code": "US",
            "telephone_number": "757-983-1777",
            "fax_number": "757-507-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TAMARA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.