Individual provider Active NPI

Desiree Marlo Graham, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1730868894
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6195 Issued in TN
Practice address
3601 The Vanderbilt Clinic
Nashville, TN 37232
Phone
(615) 322-5000
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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 6195 TN Primary

Addresses

Primary practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

3266 Memorial Blvd Ste F
Murfreesboro, TN 37129-5484
Phone (615) 900-3515

Other practice location 2

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone (615) 248-1225

Other practice location 3

5607 Franklin Rd Ste A1
Murfreesboro, TN 37128-3547
Phone (615) 962-7727

Other practice location 4

3400 S Church St Ste B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

Other practice location 5

1636 New Salem Hwy Ste D
Murfreesboro, TN 37128-7038
Phone (615) 900-1176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260128001046 TN Practitioner - Physician Assistant 6103304514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3841 Green Hills Village Dr
Suite 200
Nashville, TN 37215-2625

3841 Green Hills Village Dr
Suite 200
Nashville, TN 37215-2691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6195TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center CurrentSince Feb 6, 2026 Accepting new patients
Gateway Primary Care LLC PastSince Oct 6, 2024 Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2023 Accepting new patients
Gateway Healthcare, PC PastSince Mar 3, 2021 Accepting new patients
Emedical Group Inc Past Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1730868894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 THE VANDERBILT CLINIC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37232",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3266 Memorial Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371295484",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "fax_number": "615-900-3463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1574 Medical Center Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293761",
            "country_code": "US",
            "telephone_number": "615-248-1225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "fax_number": "615-962-7729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 New Salem Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287038",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "fax_number": "615-203-6142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DESIREE",
        "middle_name": "MARLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.