Eric Kevin Graham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3801 William D Tate Ave # 800a
Grapevine, TX 76051-8755

Phone

(817) 488-8998

NPI assigned

Sep 11, 2020

Last updated

Oct 5, 2020By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

University of North Texas HSC, College of Osteopathic Med, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

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.

• Beacon Behavioral of Texas PA

  dba Earthman Psychiatry & Addiction Medicine

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335
  Medicare reassignment Care Compare group
• Smart Neuro Health & Wellness Professionals Texas PA

  • Other Technician
  • Plano, TX
  • NPI 1619341492
  NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1457966913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8173 MIDTOWN BLVD APT 3312",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314493",
            "telephone_number": "972-322-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE # 800A",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518755",
            "telephone_number": "817-488-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ERIC",
        "middle_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-10-05",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1172707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN ASSISTANT BOARD",
            "identifier": "PA13678",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Perspectives Counseling of Grapevine, LLC
• Michael L Grace, O.D.
• Meredith Lynn Grady, D.C.
• Candace Graham, LPC
• Charisa Beth Graham, LPC-A
• Haley Grant, OTR
• Grapevine Autumn Leaves, LP
• Grapevine Behavioral Healthcare Associates Inc
• Grapevine Birthing Center
• Grapevine Cardiology

• Physician Assistant in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.