Active NPI
Charisse Graham, M.D.
- Pediatric Adolescent Medicine Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 103830
- Practice address
- 1513 Cleveland Ave
Atlanta, GA 30344-6947 - Phone
- (404) 756-1422
- NPI assigned
- Apr 4, 2017
- Last updated
- Dec 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | ME168278 | FL | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 103830 | GA | Primary |
Addresses
Primary practice location
1513 Cleveland Ave
Atlanta, GA 30344-6947
Mailing address
50 Hurt PLZ SE Ste 630
Atlanta, GA 30303-2915
Other practice location 1
35 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3032
Phone (404) 785-9850
Other practice location 2
455 Lee St SW
Atlanta, GA 30310-1408
Phone (404) 756-1241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, HI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103830 | GA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Multi-Specialty | Current | Accepting new patients |
| Tampa Family Health Centers Inc | Multi-Specialty | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC | Multi-Specialty | Current | Accepting new patients |
| Tampa Family Health Centers Inc | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Multi-Specialty | Current | Accepting new patients |
| AIDS Action Coalition of Huntsville | Multi-Specialty | Current | Accepting new patients |
| Tampa Family Health Centers, Inc | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Current | Accepting new patients | |
| AIDS Action Coalition of Huntsville | Current | Accepting new patients | |
| Morehouse Medicine Inc. | Multi-Specialty | Past | Accepting new patients |
| Morehouse Healthcare, Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
1600 7th Ave S
#310
Birmingham, AL 35233
Phone (205) 638-5382
3007 Memorial Pkwy SW
Ste C
Huntsville, AL 35801
Phone (256) 382-3344
3500 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-1800
1212 E Bearss Ave
Lutz, FL 33549
Phone (813) 398-5300
7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
Interoperability endpoints
- cgraham3027958@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 11
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.
-
dba Thrive Alabama
- Federally Qualified Health Center (FQHC)
- Huntsville, AL
- NPI 1770635633
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
dba Thrive Alabama Pharmacy
- Community/Retail Pharmacy
- Huntsville, AL
- NPI 1952298184
-
dba Kapiolani Medical Center Outpatient Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1841263720
-
- Federally Qualified Health Center (FQHC)
- Tampa, FL
- NPI 1417953571
-
- General Practice Physician
- Tampa, FL
- NPI 1831769579
-
dba UAHSF Department of Pediatrics
- Pediatrics Physician
- Birmingham, AL
- NPI 1356377576
Multi-Specialty
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1801832324
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1497288799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 HURT PLZ SE STE 630",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 CLEVELAND AVE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303446947",
"telephone_number": "404-756-1422"
}
],
"practiceLocations": [
{
"address_1": "35 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033032",
"country_code": "US",
"telephone_number": "404-785-9850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Lee St SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303101408",
"country_code": "US",
"telephone_number": "404-756-1241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "CHARISSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "FL",
"license": "ME168278",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "GA",
"license": "103830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.