Samantha Lynn Graham, DRPH, CBHCMS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CBHCMS.0102666 Issued in FL

Practice address

9951 Atlantic Blvd Ste 319
Jacksonville, FL 32225-6577

Phone

(904) 990-4211

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Empowerment Pathways LLC

  • Case Management Agency
  • Saint Johns, FL
  • NPI 1801608039

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1164284071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 319",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256577",
            "telephone_number": "904-990-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 319",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256577",
            "telephone_number": "904-990-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DRPH, CBHCMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCMS.0102666",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "CBHCM.0105764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khandie Graham, M.D.
• Latoya Graham, RN
• Marion Coates Graham, ARNP
• Molly Graham
• Quaneisha La'Trell Graham
• Tai'Anah A Graham
• Tykeriha Graham
• Zina Yvette Graham
• Grahams Promise
• Maria Goodwin Grammer, PA-C

• Case Manager/Care Coordinator in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.