Individual provider Active NPI

Carmen Diane McGraw, PA

  • Medical Physician Assistant
  • Columbus, GA
National Provider Identifier
1275192775
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002279 Issued in GA
Practice address
350 Manchester Expy
Columbus, GA 31904-6435
Phone
(706) 243-0250
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002279 GA Primary

Addresses

Primary practice location

350 Manchester Expy
Columbus, GA 31904-6435

Mailing address

186 Big Sky Dr
Hamilton, GA 31811-6537
Phone (706) 566-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000041 GA Practitioner - Physician Assistant 1355307679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

101 13TH St
Suite 200
Columbus, GA 31901-2183
Phone (706) 956-4550

1524 Lafayette Pkwy
Lagrange, GA 30241-2566
Phone (706) 530-2151

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3471 Courtyard Way
Columbus, GA 31909-5379
Phone (706) 813-4420

7301 Blackmon Rd
Columbus, GA 31909-4478
Phone (706) 383-0910

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002279GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jun 24, 2019 Accepting new patients

Locations

6801 River Rd
Ste 101
Columbus, GA 31904
Phone (706) 320-8625

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1275192775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BIG SKY DR",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318116537",
            "telephone_number": "706-566-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MANCHESTER EXPY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046435",
            "telephone_number": "706-243-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "CARMEN",
        "middle_name": "DIANE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.