Graham Dermatology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

2006-01011 Issued in NC

Legal business name

GRAHAM DERMATOLOGY PA

Practice address

202 Fieldale Rd
Mebane, NC 27302-9177

Phone

(919) 304-5900

Fax

(919) 304-5901

NPI assigned

Jan 20, 2010

Last updated

Jul 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Spencer Ellis

Title

Director of Operations

Phone

(919) 304-5900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ana Benitez-Graham, M.D.

  • Dermatology Physician
  • Mebane, NC
  • NPI 1619197845
  Medicare reassignment NPD

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1619208345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FIELDALE RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029177",
            "telephone_number": "919-304-5900",
            "fax_number": "919-304-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FIELDALE RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029177",
            "telephone_number": "919-304-5900",
            "fax_number": "919-304-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-304-5900"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "2006-01011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Gibson
• Carter B. Gillespie, CEAP, LPC
• Danica Marie Glass, N.P.
• Jocelyn Glover
• Good Samaritan Transportation LLC
• Shani Graham, MS, NCC, LCMHCA
• Grandma's House of Mebane LLC
• Graves Family Care
• Sharita Graves, RN, MSN
• Greater Homecare Staffing LLC

• Specialist in Mebane, NC
• Providers in Mebane, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.