NICOLE GRAHAM (NPI# 1225576242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225576242 |
| Entity Type | Organization |
| Organization Name | NICOLE GRAHAM |
| Practice Address |
1401 W Innes St Salisbury NC 28144-2574 |
| Practice Telephone | 7046365626 |
| Practice Fax Number | 7046365641 |
| Mailing Telephone | 7046365626 |
| Mailing Fax Number | 7046365641 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | CHETAN AMIN (OFFICE MANAGER/OWNER) |
| Authorized Official Telephone | 7046365626 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 0010-07063 | NC | Nursing & Custodial Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0010-07063 | NC | Ambulatory Health Care Facilities |
| Street Address |
1401 W INNES ST |
| City | SALISBURY |
| State | NC |
| Zip Code | 28144-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811039332 | Hetal Ajit Amin-patel | Dentist | 1401 W Innes St, Salisbury, NC 28144-2574 | 2007-02-12 |
| 1508480484 | Richa Patel | Dentist | 1401 W Innes St, Salisbury, NC 28144-2574 | 2020-06-05 |
| 1245778182 | Nicole Graham | Physician Assistant | 1401 W Innes St, Salisbury, NC 28144-2574 | 2017-02-10 |
| 1134589849 | Hetal Amin-patel, D.d.s., P.l.l.c. | Clinic/Center | 1401 W Innes St, Salisbury, NC 28144-2574 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
| 1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
| 1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
| 1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
| 1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
| 1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
| 1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
| 1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
| Find all providers in zip 28144 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053857045 | Amy D. Walsh, M.d. | Clinic/Center | 106 Milford St, Suite 306, Salisbury, MD 21804-6953 | 2017-01-13 |
| 1780950725 | Lower Shore Clinic, Inc | Clinic/Center | 505 E Main St, Salisbury, MD 21804-5020 | 2012-03-23 |
| 1558672006 | Joan Smith, D.o. P.a. | Clinic/Center | 31664 Old Ocean City Rd, Salisbury, MD 21804-1800 | 2010-06-30 |
| 1871775072 | Joy Madarang-lewis M.d., P.a. | Clinic/Center | 1405 S Division St, Salisbury, MD 21804-7232 | 2007-11-29 |
| 1619163094 | Salisbury Va Medical Center | Clinic/Center | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2007-09-19 |
| 1659409944 | Rowan Primary Care, PC | Clinic/Center | 1406a W Innes St, Salisbury, NC 28144-2502 | 2007-03-01 |
| 1104968627 | Piedmont Family Medicine, P.a. | Clinic/Center | 1401 W Innes St Ste B, Salisbury, NC 28144-2575 | 2007-02-12 |
| 1275673097 | Southern Clinics and Urgent Care, Pa | Clinic/Center | 812 W Innes St, Salisbury, NC 28144-4152 | 2007-02-08 |
| 1710949037 | Vamc-salisbury | Clinic/Center | 1601 Brenner Ave, Salisbury, NC 28144-2515 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907604 | Primary Care of North Carolina Inc | Clinic/Center | 3500 Stonehaven Dr, Charlotte, NC 28215-3232 | 2020-09-17 |
| 1871119818 | Mymd Personal Family Care, Pllc | Clinic/Center | 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 | 2020-06-24 |
| 1164042412 | Hometown Direct Primary Care Pllc | Clinic/Center | 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 | 2020-04-16 |
| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.