Individual provider Active NPI

Hannah Rachel Graham, PA-C

  • Physician Assistant
  • Edenton, NC
National Provider Identifier
1578066973
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
105 Mark Dr
Edenton, NC 27932-1777
Phone
(252) 482-6530
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 Primary

Addresses

Primary practice location

105 Mark Dr
Edenton, NC 27932-1777

Mailing address

PO Box 896208
Charlotte, NC 28289-6208
Phone (910) 715-1010

Other names 1

  • Hannah Rachel McLain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180518001193 NC Practitioner - Physician Assistant 8426313503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710

251 Campground Rd
West End, NC 27376-8987
Phone (910) 715-6100

Hospital & facility affiliations

  • Firsthealth Home Care Home health agency, West End, NC, CCN 347230

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
87.11

Merit-based Incentive Payment System (MIPS)

Final score
86.75 of 100Reported as group
Quality
77.19
Promoting interoperability
86
Improvement activities
40
Cost
80.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-2, LLC CurrentSince Aug 9, 2021 Accepting new patients
Firsthealth of the Carolinas, Inc CurrentSince Dec 10, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 27, 2018 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Dec 10, 2023 Accepting new patients
Moye Medical Endoscopy Center LLC Past Accepting new patients

Locations

105 Mark Dr
Edenton, NC 27932
Phone (252) 482-3047

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

251 Campground Rd
West End, NC 27376
Phone (910) 715-6000

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 1

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1578066973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896208",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896208",
            "telephone_number": "910-715-1010",
            "fax_number": "910-715-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MARK DR",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321777",
            "telephone_number": "252-482-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "HANNAH",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "MCLAIN",
            "middle_name": "RACHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.