Individual provider Active NPI

Graham Harvey Cosper, M.D.

  • Pediatric Surgery Physician
  • Charlotte, NC
National Provider Identifier
1275741076
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
2009-00994 Issued in NC
Practice address
1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106
Phone
(704) 370-0223
Fax
(704) 370-0799
NPI assigned
May 18, 2007
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 2009-00994 NC Primary
Pediatric Surgery Physician 2086S0120X E-5149 AR

Addresses

Primary practice location

1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106

Mailing address

1900 Randolph Rd.
Ste. 210
Charlotte, NC 28207-1106
Phone (704) 370-0223

Other identifiers 3

IdentifierTypeStateIssuer
5912425OtherNCMEDICAID
N94009OtherSCMEDICAID
2075144OtherMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000724 NC Practitioner - General SurgeryPractitioner - Pediatric Medicine 8921144189 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Childrens Specialty Network IncGroup PAC ID 5092234187, 15 clinicians

Practice addresses (Care Compare)

1001 Blythe Blvd
Charlotte, NC 28203-5866
Phone (704) 446-3350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-5149ARMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group Coastal Region, LLC Pediatric Surgery CurrentSince Nov 21, 2023 Accepting new patients
Pediatric Surgical Associates, P.a. Pediatric Surgery CurrentSince Aug 10, 2009 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Nov 1, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
NMG Health Services LLC CurrentSince Nov 21, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Carolinas Physicians Network Inc Pediatric Surgery CurrentSince Nov 1, 2024 Accepting new patients
Carolinas Physicians Network Inc. Pediatric Surgery CurrentSince Nov 1, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Aug 4, 2009 Accepting new patients
Atrium Health Childrens Specialty Network Inc Pediatric Surgery CurrentSince Jul 1, 2025 Accepting new patients
Carolinas Medical Center CurrentSince Aug 4, 2009 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1001 Blythe Blvd
Ste 500
Charlotte, NC 28203
Phone (704) 355-5100

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1900 Randolph Rd
Ste 210
Charlotte, NC 28207
Phone (704) 370-0223

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Interoperability endpoints

  • Direct secure messaging: gcosper45229@direct.novanthealth.org
  • Direct secure messaging: gcosper536673@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1275741076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD.",
            "address_2": "STE. 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-370-0223",
            "fax_number": "704-370-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD.",
            "address_2": "STE. 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-370-0223",
            "fax_number": "704-370-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSPER",
        "first_name": "GRAHAM",
        "middle_name": "HARVEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NC",
            "license": "2009-00994",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AR",
            "license": "E-5149",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5912425",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "N94009",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2075144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.