Paul M Graham, DO, FAAD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS15142 Issued in FL

Practice address

305 Clyde Morris Blvd Ste 150
Ormond Beach, FL 32174-8186

Phone

(386) 615-1771

Fax

(386) 615-1545

NPI assigned

Mar 30, 2014

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.64 of 100Reported as group

Quality

73.28

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.graham@forefrontdermatology.emadirect.md
• Direct secure messaging: pgraham@directaddress.net
• Direct secure messaging: pgraham22@ormondbeach.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forefront Dermatology, S.C.

  dba Advanced Dermatology & Skin Care Centre

  • Dermatology Physician
  • Miramar Beach, FL
  • NPI 1154815546
  Medicare reassignment Care Compare group NPD
• Gina Sevigny M D P a

  dba Ormond Beach Dermatology

  • MOHS-Micrographic Surgery Physician
  • Ormond Beach, FL
  • NPI 1649314212
  Medicare reassignment NPD
• J Matthew Knight M D P a

  • Procedural Dermatology Physician
  • Orlando, FL
  • NPI 1386830263
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  dba Knight Dermatology, A Forefront Dermatology Practice

  • Dermatology Physician
  • Lake Mary, FL
  • NPI 1740097591
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1720406580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748186",
            "telephone_number": "386-615-1771",
            "fax_number": "386-615-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CLYDE MORRIS BLVD STE 150",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748186",
            "telephone_number": "386-615-1771",
            "fax_number": "386-615-1545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 N Swallow Tail Dr",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321296102",
            "country_code": "US",
            "telephone_number": "386-615-1771",
            "fax_number": "386-615-1545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO, FAAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS15142",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS15142",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "OS15142",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "OS15142",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107214900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany D Googin
• B. Scott Goralnik, ORTHOTIC FITTER
• Kim M Goss, COTA
• Denis B Goudreau, R.PH.
• Kerri-Ann Graham Michaux, D.M.D.
• Granada Emergency Physicians
• Karen D. Grant, LCSW
• Jacqueline Marie Green, LMT
• Jennifer Marie Green, PTA
• Julia Laine Greene, APRN

• Dermatology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.