Individual provider Active NPI

Leah Elizabeth Graves, PA-C

  • Physician Assistant
  • Clinton, NC
National Provider Identifier
1639697378
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
603 Beaman St Ste 402
Clinton, NC 28328-2689
Phone
(910) 590-3397
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 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

603 Beaman St Ste 402
Clinton, NC 28328-2689

Mailing address

603 Beaman St Ste 402
Clinton, NC 28328-2689

Other practice location 1

7118 Main St
Wade, NC 28395-9749
Phone (910) 483-6694

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leah-graves@sampsonrps.e-mdsdirect.com Direct Sampson Regional Professional Services LLC

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
I20190509002067 NC Practitioner - Physician Assistant 3072856285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

607 Beaman St
Clinton, NC 28328-2603
Phone (910) 596-5402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Professional Services, LLC CurrentSince Jan 4, 2021 Accepting new patients
Sampson Regional Professional Services LLC. Family Medicine CurrentSince Jan 4, 2021 Accepting new patients
Stedman-Wade Health Services, Inc. CurrentSince Oct 26, 2017 Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

603 Beaman St
Ste 402
Clinton, NC 28328
Phone (910) 590-3397

Interoperability endpoints

  • Direct secure messaging: leah-graves@sampsonrps.e-mdsdirect.com

Organizations & group practices 4

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 4

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1639697378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 402",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BEAMAN ST STE 402",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282689",
            "telephone_number": "910-590-3397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7118 Main St",
            "address_purpose": "LOCATION",
            "city": "Wade",
            "state": "NC",
            "postal_code": "283959749",
            "country_code": "US",
            "telephone_number": "910-483-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "LEAH",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leah-graves@sampsonrps.e-mdsdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Sampson Medical Group Direct Address",
            "affiliationName": "Sampson Regional Professional Services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 Beaman St Ste 402",
            "city": "Clinton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283282689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.