Individual provider Active NPI

Jamie Graham

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1750911053
Registry record updated Mar 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005600 Issued in FL
Practice address
6206 Commerce Palms Dr
Tampa, FL 33647-1506
Phone
(866) 389-2727
NPI assigned
Jan 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23824 SC
Family Nurse Practitioner 363LF0000X 11005600 FL Primary

Addresses

Primary practice location

6206 Commerce Palms Dr
Tampa, FL 33647-1506

Mailing address

6206 Commerce Palms Dr
Tampa, FL 33647-1506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200717002327 SC Practitioner - Nurse Practitioner 3577987973 Reassigns benefits to 2 organizations
I20220813000650 FL Practitioner - Nurse Practitioner 3577987973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Family Physicians, PLGroup PAC ID 6305921321, 3 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1817 Cypress Brook Dr
Suite 101
Trinity, FL 34655-4416
Phone (727) 834-8377

5347 Main St
New Port Richey, FL 34652-2520
Phone (727) 841-0515

6206 Commerce Palms Dr
Tampa, FL 33647-1506
Phone (866) 389-2727

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
79.98
Improvement activities
40
Cost
79.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11005600FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Services Group, P.C. CurrentSince Aug 5, 2024 Accepting new patients
Trinity Family Physicians PL CurrentSince Jun 19, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 1, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Sep 7, 2023 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

5604 Gulf Dr
New Prt Rchy, FL 34652
Phone (727) 210-2235

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

6206 Commerce Palms Dr
Tampa, FL 33647
Phone (813) 971-2459

1817 Cypress Brook Dr
Ste 101
Trinity, FL 34655
Phone (727) 376-9757

2 Griffith Rd
Greenville, SC 29607
Phone (864) 276-8583

8595 Pelham Rd
Ste 400
Greenville, SC 29615
Phone (864) 316-8984

1303 38th Ave N
Myrtle Beach, SC 29577
Phone (843) 445-1697

1010 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 249-1451

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJDAA

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 3

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": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1750911053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 COMMERCE PALMS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 COMMERCE PALMS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471506",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-25",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.