Individual provider Active NPI

Samantha Anne Graham

  • Physician Assistant
  • Bristol, TN
National Provider Identifier
1447768031
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010426 Issued in VA
Practice address
2686 W State St
Bristol, TN 37620-1817
Phone
(423) 844-0026
NPI assigned
Jan 17, 2018
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6247 TN
Physician Assistant 363A00000X 0110010426 VA Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

2686 W State St
Bristol, TN 37620-1817

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111

Other practice location 1

438 E Vann Rd Ste 301
Greeneville, TN 37743-7202
Phone (423) 636-9828

Other practice location 2

161 Heart Dr Ste A
Johnson City, TN 37604-2607
Phone (423) 282-0751

Other practice location 3

245 Medical Park Dr Ste C
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 4

344 Overlook Dr Ste 200
Lebanon, VA 24266-3436
Phone (276) 883-8042

Other practice location 5

4600 Fort Henry Dr
Kingsport, TN 37663-2617
Phone (423) 224-3950

Other practice location 6

30522 Garnand
Emory, VA 24340
Phone (276) 944-4121

Other practice location 7

1497 W Elk Ave Ste 11
Elizabethton, TN 37643-2896
Phone (423) 542-8929

Other practice location 8

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701

Other practice location 9

405 Scenic Dr Ste A
Rogersville, TN 37857-2441
Phone (423) 921-3490

Other practice location 10

24530 Falcon Place Blvd Ste 100
Abingdon, VA 24211-7665
Phone (276) 619-0075

Other names 1

  • Samantha McCauley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20250109002733 TN Practitioner - Physician Assistant 6507394178 Reassigns benefits to 2 organizations
I20250814002003 VA Practitioner - Physician Assistant 6507394178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

111 W Stone Dr
Kingsport, TN 37660-6027

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

245 Medical Park Dr
Suite C
Marion, VA 24354-1100
Phone (276) 378-3300

24530 Falcon Place Blvd
Abingdon, VA 24211-7665

2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6247TNMDPhysician Assistant
0110010426VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Oct 25, 2025 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 1, 2024 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Dec 1, 2024 Accepting new patients

Locations

2686 W State St
Bristol, TN 37620
Phone (423) 844-0026

1497 W Elk Ave
Ste 11
Elizabethton, TN 37643
Phone (423) 542-7480

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

161 Heart Dr
Ste A
Johnson City, TN 37604
Phone (423) 282-0751

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

344 Overlook Dr
Ste 200
Lebanon, VA 24266
Phone (276) 883-5900

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1447768031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 W STATE ST",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201817",
            "telephone_number": "423-844-0026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "438 E Vann Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-636-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Heart Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042607",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Overlook Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-8042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376632617",
            "country_code": "US",
            "telephone_number": "423-224-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30522 Garnand",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "VA",
            "postal_code": "24340",
            "country_code": "US",
            "telephone_number": "276-944-4121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-542-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Stone Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376606027",
            "country_code": "US",
            "telephone_number": "423-224-3701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Scenic Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572441",
            "country_code": "US",
            "telephone_number": "423-921-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24530 Falcon Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117665",
            "country_code": "US",
            "telephone_number": "276-619-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6247",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010426",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MCCAULEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.