Individual provider Active NPI

Charisse Graham, M.D.

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
National Provider Identifier
1497288799
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
103830 Issued in GA
Practice address
1513 Cleveland Ave
Atlanta, GA 30344-6947
Phone
(404) 756-1422
NPI assigned
Apr 4, 2017
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X ME168278 FL
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200710001689 AL Practitioner - Pediatric Medicine 4183047079 Reassigns benefits to 2 organizations
I20230417001547 HI Practitioner - Pediatric Medicine 4183047079 Reassigns benefits to 1 organization
I20240725000855 FL Practitioner - Pediatric Medicine 4183047079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103830GAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Tampa Family Health Centers Inc Multi-Specialty Current Accepting new patients
University of Alabama Health Services Foundation, PC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Tampa Family Health Centers Inc CurrentSince Jun 10, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children Multi-Specialty CurrentSince Feb 6, 2023 Accepting new patients
AIDS Action Coalition of Huntsville Multi-Specialty CurrentSince Nov 1, 2023 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jun 10, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Feb 6, 2023 Accepting new patients
AIDS Action Coalition of Huntsville CurrentSince Nov 1, 2023 Accepting new patients
Morehouse Medicine Inc. Multi-Specialty PastSince Dec 28, 2025 Accepting new patients
Morehouse Healthcare, Inc. Multi-Specialty PastSince Dec 28, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.