Active NPI
Tracy Maria Graham, M.D.
- Emergency Medicine Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME115260
- Practice address
- 1300 Miccosukee Road
Bixler Emergency Center
Tallahassee, FL 32308 - Phone
- (850) 431-0911
- Fax
- (850) 431-0779
- NPI assigned
- May 3, 2010
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | TRN14663 | FL | |
| Emergency Medicine Physician | 207P00000X | ME115260 | FL | Primary |
Addresses
Primary practice location
1300 Miccosukee Road
Bixler Emergency Center
Tallahassee, FL 32308
Mailing address
1300 Miccosukee Road
Bixler Emergency Center
Tallahassee, FL 32308
Phone (850) 431-0911
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
- Emergency Medicine
- Education
- Florida State University College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-0911
1541 Medical Dr
Tallahassee, FL 32308-4615
Phone (850) 431-7801
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115260 | FL | MD | Emergency Medicine Physician |
| TRN14663 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Emergency Physician Group | Emergency Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| TMH Emergency Physician Group | Emergency Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155
1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021
1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413
1541 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-7801
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
Interoperability endpoints
- tgraham21562@tallahasseememorial.direct-ci.com
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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1417483819
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Care Clinic/Center
- Tallahassee, FL
- NPI 1033168893
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1235665605
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1992022776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "BIXLER EMERGENCY CENTER",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-0911",
"fax_number": "850-431-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MICCOSUKEE ROAD",
"address_2": "BIXLER EMERGENCY CENTER",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-431-0911",
"fax_number": "850-431-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "TRACY",
"middle_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN14663",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME115260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.