NICOLE GRAHAM PHD PA
NPI 1427664176
Clinical Neuropsychologist in Fort Lauderdale, FL
About Nicole Graham Phd Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE GRAHAM PHD PA (NPI 1427664176) is a healthcare organization registered as a clinical neuropsychologist in Fort Lauderdale, Florida and active in the NPI registry since September 2020. The organization lists Nicole Graham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Graham Phd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicole Graham Phd PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Graham Phd PA's NPI number?
The NPI number for Nicole Graham Phd PA is 1427664176. It was assigned to this organization in the NPPES registry on September 18, 2020.
Where is Nicole Graham Phd PA located?
Nicole Graham Phd PA is located at 12 SE 7th St Ste 705, Fort Lauderdale, FL 33301. The listed phone number is (954) 365-5366.
What is Nicole Graham Phd PA's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Nicole Graham Phd PA enrolled in Medicare?
Yes. Nicole Graham Phd PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nicole Graham Phd PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Nicole Graham Phd PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Graham Phd PA was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Graham Phd Pa · NPI 1427664176
Clinical Neuropsychologist organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since September 18, 2020.
## Identity
- **NPI:** 1427664176 (Entity type: Organization)
- **Enumerated:** September 18, 2020
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Nicole Graham, PRESIDENT
## Practice location
- **Address:** 12 SE 7TH ST STE 705, Fort Lauderdale, FL 33301-3469
- **Phone:** (954) 365-5366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1427664176) · Data from the CMS NPPES public registry.