Active NPI
Hunter Nicole Graham, MD
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
National Provider Identifier
1942874169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME173687
- Practice address
- 1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645 - Phone
- (850) 243-2229
- Fax
- (334) 493-9018
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | ME173687 | FL | Primary |
Addresses
Primary practice location
1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Mailing address
1046 Mar Walt Dr Ste 200
Fort Walton Beach, FL 32547-6645
Phone (850) 243-2229
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas a & M University System, HSC, College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
137 Thistleton Way
St Augustine, FL 32092-3281
3601 4TH St
Stop 8340
Lubbock, TX 79430-0001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME173687 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health FL P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Absolute OBGYN LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229
Interoperability endpoints
- https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
- hunter.graham.1@23211.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Fort Walton Beach, FL
- NPI 1194591966
-
- Obstetrics & Gynecology Physician
- Gulf Breeze, FL
- NPI 1801301122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1942874169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 MAR WALT DR STE 200",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-243-2229",
"fax_number": "833-449-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 MAR WALT DR STE 200",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476645",
"telephone_number": "850-243-2229",
"fax_number": "334-493-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "HUNTER",
"middle_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME173687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.