NPIMap

Individual provider Active NPI

Graham Delano Martin, PA-S

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1568218626
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15071 Issued in NC
Practice address
8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Phone
(980) 302-3050
Fax
(980) 302-3055
NPI assigned
Apr 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-15071 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

2563 Branch Dr
Valdese, NC 28690-9539
Phone (828) 432-6177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328003145 NC Practitioner - Physician Assistant 0941723019 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Mar 28, 2025 Accepting new patients
Atrium Health Neurospine Network LLC CurrentSince Nov 24, 2025 Accepting new patients
Atrium Health Neurospine Network LLC CurrentSince Nov 24, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 28, 2025 Accepting new patients

Locations

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

14135 Ballantyne Corporate Pl
Charlotte, NC 28277
Phone (704) 343-3400

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

225 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-1605

110 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 792-2672

10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: gmartin2742472@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: gmartin1658909@direct.novanthealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1568218626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2563 Branch Dr",
            "address_purpose": "LOCATION",
            "city": "Valdese",
            "state": "NC",
            "postal_code": "286909539",
            "country_code": "US",
            "telephone_number": "828-432-6177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GRAHAM",
        "middle_name": "DELANO",
        "credential": "PA-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.