Individual provider Active NPI

Caroline Smith Graham, P.A.

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1508242660
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200858 Issued in LA
Practice address
2000 Canal St
New Orleans, LA 70112-3018
Phone
(504) 702-4546
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200858 LA Primary

Addresses

Primary practice location

2000 Canal St
New Orleans, LA 70112-3018

Mailing address

1542 Tulane Ave
Department of Surgery
New Orleans, LA 70112-2865
Phone (504) 568-4752

Other practice location 1

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-6406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20151222002679 LA Practitioner - Physician Assistant 2466753157 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Nov 16, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 15, 2019 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Nov 16, 2015 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Nov 16, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 15, 2019 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Nov 16, 2020 Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143

101 Judge Tanner Blvd
Ste 404
Covington, LA 70433
Phone (985) 590-5339

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Ste 330
Metairie, LA 70006
Phone (504) 454-6338

4720 S I 10 Svc Rd W
Ste 100
Metairie, LA 70001
Phone (504) 454-2165

1514 Jefferson Hwy
New Orleans, LA 70121

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 9

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1508242660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE",
            "address_2": "DEPARTMENT OF SURGERY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701123018",
            "telephone_number": "504-702-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CAROLINE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.