Individual provider Active NPI

Savannah Graham, PA

  • Medical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1497588834
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
13081 Highway 9 N
Alpharetta, GA 30004-5150
Phone
(770) 521-6690
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

13081 Highway 9 N
Alpharetta, GA 30004-5150

Mailing address

118 Peregrine PT
Braselton, GA 30517-2194
Phone (678) 986-8134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20241127000696 GA Practitioner - Physician Assistant 3971038902 Reassigns benefits to 1 organization

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
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1034 Old Peachtree Rd NW
Lawrenceville, GA 30043-3308
Phone (678) 335-5400

13081 Hwy 9 N
Alpharetta, GA 30004-5150
Phone (770) 521-6690

2021 Market Place Blvd
Cumming, GA 30041-7931
Phone (770) 292-9982

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

3711 Village Way
Suite a
Braselton, GA 30517-2201
Phone (470) 615-2661

862 Harbins Rd
Suite 101
Dacula, GA 30019-2410
Phone (470) 464-8200

National Provider Directory

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1497588834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PEREGRINE PT",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172194",
            "telephone_number": "678-986-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13081 HIGHWAY 9 N",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045150",
            "telephone_number": "770-521-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SAVANNAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.