Kenneth Daniel Graham, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07556 Issued in NC

Practice address

5716 Fayetteville Rd
Durham, NC 27713-9661

Phone

(919) 572-1868

NPI assigned

Sep 12, 2017

Last updated

Feb 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NC, FL2 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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duke University Hospital Hospital, Durham, NC, CCN 340030

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: kenneth.graham@carespot.net
• Direct secure messaging: kgraham274637@direct.medicine.duke.edu

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.

• Duke University Affiliated Physicians, Inc.

  dba Sutton Station Internal Medicine

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment Care Compare group
• Fastmed P.C.

  • Family Medicine Physician
  • Durham, NC
  • NPI 1629841788
  Medicare reassignment
• Carespot of Orlando Hsi Urgent Care LLC

  dba CareSpot Urgent Care / CareSpot - Clermont

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1306367503
  Medicare reassignment
• Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1558595223
  Medicare reassignment
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care Knightdale

  • Emergency Medicine Physician
  • Knightdale, NC
  • NPI 1619113909
  NPD
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  NPD (past)
• Duke University Affiliated Physicians, Inc.

  dba Duke Primary Care

  • Family Medicine Physician
  • Durham, NC
  • NPI 1225073554
  NPD (past)
• Duke University Health System, Inc.

  dba Duke Home Infusion

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  NPD (past)
• Fastmed Primary Care, P.C.

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1912774423
  NPD (past)

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

• Duke University Health System Inc

  dba Duke Raleigh Hospital, a campus of Duke University Hospital

  • Rehabilitation Hospital Unit
  • Raleigh, NC
  • NPI 1205225646
  Care Compare affiliation
• Duke University Health System Inc

  dba Duke Raleigh Hospital, a campus of Duke University Hospital

  • Clinical Medical Laboratory
  • Raleigh, NC
  • NPI 1306828108

  Hospital

  Care Compare affiliation
• Duke University Health System Inc

  dba Duke University Hospital

  • Clinical Medical Laboratory
  • Durham, NC
  • NPI 1508847047

  Hospital

  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • Land Ambulance
  • Durham, NC
  • NPI 1417954942

  Hospital

  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • Rehabilitation Hospital Unit
  • Durham, NC
  • NPI 1538166061
  Care Compare affiliation
• Duke University Health System, Inc.

  dba Duke University Hospital

  • General Acute Care Hospital
  • Durham, NC
  • NPI 1992703540
  Care Compare affiliation

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1164941977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 LOON AVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875493",
            "telephone_number": "678-764-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 FAYETTEVILLE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139661",
            "telephone_number": "919-572-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4041 Ed Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276128004",
            "country_code": "US",
            "telephone_number": "919-783-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1059 Beaver Creek Commons Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275023918",
            "country_code": "US",
            "telephone_number": "919-960-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cornerstone Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275198453",
            "country_code": "US",
            "telephone_number": "919-650-3660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2555 S Kirkman Rd # Rs",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328112346",
            "country_code": "US",
            "telephone_number": "407-362-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KENNETH",
        "middle_name": "DANIEL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-12",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07556",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9114062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kenneth.graham@carespot.net",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2555 S Kirkman Rd # Rs",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328112346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.graham@duke.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5716 Fayetteville Rd",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277139661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Elizabeth Graham, MSW, LCSWA
• Carol Graham, MD
• Erika Michelle Graham, DDS
• James Edward Graham II, D.MINN
• Julia Lorraine Graham, MSN, AGNP-C, APRN
• Kerry Lynn Graham, OTR
• Kim B Graham, RCP
• La'Darrya Graham
• Meghan Albright Graham, DPT
• Ryan Graham

• Physician Assistant in Durham, NC
• Providers in Durham, 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 Feb 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.