Jennifer Lynn Graham

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-00512 Issued in NC

Practice address

700A Progress PL
Laurinburg, NC 28352-5545

Phone

(910) 276-6767

NPI assigned

Mar 14, 2007

Last updated

Mar 29, 2022By the provider in NPPES

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

Enrolled in NC, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Scotland Regional Health Network

  dba Carolinas Hospitalist Group - Scotland

  • Hospitalist Physician
  • Laurinburg, NC
  • NPI 1972829562
  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba Marlboro Family Practice and Urgent Care

  • Rural Health Clinic/Center
  • Bennettsville, SC
  • NPI 1770577611
  Medicare reassignment NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Multi-Specialty Clinic/Center
  • Nags Head, NC
  • NPI 1891050357
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC, SC

  Medicare reassignment
• Harris Family Practice PLLC

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1992925978
  NPD
• Outer Banks Professional Services, LLC

  dba Outer Banks Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Nags Head, NC
  • NPI 1386182608
  NPD
• Scotland Memorial Hospital, Inc

  dba Women's health Center of the Carolinas

  • Obstetrics & Gynecology Physician
  • Laurinburg, NC
  • NPI 1992184543
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgical Critical Care Physician
  • Laurinburg, NC
  • NPI 1164726105
  NPD
• Scotland Regional Health Network

  dba Harris Family Practice

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1912218348
  NPD
• Scotland Regional Health Network

  dba Scotland Surgical and GI Associates

  • Surgery Physician
  • Bennettsville, SC
  • NPI 1942962113
  NPD
• VMD Primary Providers Central Florida PLLC

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1780342618
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1285768291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283723506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700A PROGRESS PL",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525545",
            "telephone_number": "910-276-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2716",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carroll Goodwin, D.D.S.
• Supreet Goraya, IBCLC
• Colby Hollis Gordon, CRNA
• Grab Logistical Solutions Inc
• Grace Galloway LLC
• Deborah White Greimel, M.D.
• Autumn Grimm, NP
• Sylvia S Grooms, MA, LCAS
• Joy Guest
• Habiba Tunau MD PLLC

• Physician Assistant in Laurinburg, NC
• Providers in Laurinburg, 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 Mar 29, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.