Barry Gerard Graham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

104063 Issued in NC

Practice address

2934 N Elm St
Ste B
Lumberton, NC 28358-2986

Phone

(910) 272-1175

Fax

(910) 272-1176

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Brody School of Medicine at East Carolina University, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Health, PCGroup PAC ID 6709260185, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: bgraham846172@direct.unc.nchie.net

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.

• Precision Health, PC

  • Family Medicine Physician
  • Fayetteville, NC
  • NPI 1396484572
  Medicare reassignment Care Compare group Authorized official
• Scotland Orthopedics, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Pembroke, NC
  • NPI 1033366885
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1891821435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 N ELM ST",
            "address_2": "STE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582986",
            "telephone_number": "910-272-1175",
            "fax_number": "910-272-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BARRY",
        "middle_name": "GERARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgraham846172@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2934 N Elm St",
            "address_2": "Ste B",
            "city": "Lumberton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283582986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gordon Family Medicine
• Amber M. Gordon, RD,LDN
• Paul Anthony Gordon, M.D.
• Gayle Sarah Gottlieb, D.D.S
• Grace Home Care Agency
• Chandra Jeanne Graham, LPC
• Charles Graham
• Kevin Eugene Graham, MSW, LCAS
• Zoe Rose Naumburg Gravitz, MD
• Greater Carolina Ear Nose &Throat P.a.

• Physician Assistant in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.