Organization Active NPI

Graham 4 Enterprises

  • Public Health or Welfare Agency
  • Charlotte, NC
National Provider Identifier
1730703422
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GRAHAM 4 ENTERPRISES
Doing business as
Integrity Health for Wellness
Practice address
1914 J N Pease PL Ste 144
Charlotte, NC 28262-4504
Phone
(704) 412-2802
NPI assigned
May 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Elysa Graham, DNP, FNP-C
Title
Owner
Phone
(704) 412-2802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1914 J N Pease PL Ste 144
Charlotte, NC 28262-4504

Mailing address

9311 JW Clay Blvd
Charlotte, NC 28262-5411
Phone (704) 412-2802

Other names 1

  • Integrity Health for Wellness Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://spruce.care/3365375860 Direct

National Provider Directory

National Provider Directory

Locations

1919 Boulevard St
Ste A
Greensboro, NC 27407
Phone (305) 801-8026

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1730703422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 JW CLAY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625411",
            "telephone_number": "704-412-2802",
            "fax_number": "336-203-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 J N PEASE PL STE 144",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624504",
            "telephone_number": "704-412-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM 4 ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ELYSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-412-2802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://spruce.care/3365375860",
            "affiliation": "N",
            "endpointDescription": "HIPAA secure messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3006 W Sedgefield Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274077313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Integrity Health for Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integrity Health for Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.