CHARISSE GRAHAM M.D.
NPI 1497288799
Pediatrics - Adolescent Medicine in Atlanta, GA

Active since April 04, 2017PECOS Enrolled
1513 CLEVELAND AVE, ATLANTA, GA 30344(404) 756-1422 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2025, May 29, 2025, Jul 8, 2024 and 5 more (8 updates tracked since 2020).

About Charisse Graham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARISSE GRAHAM M.D. (NPI 1497288799) is an individual adolescent medicine provider in Atlanta, Georgia, licensed in Georgia (103830) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1497288799
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameCHARISSE GRAHAMCredential: M.D.
Location Address1513 CLEVELAND AVEAtlanta, GA 30344-6947
Mailing Address50 Hurt Plz Se Ste 630Atlanta, GA 30303-2915
Sole ProprietorYes
Enumeration DateApril 4, 2017
Last NPPES UpdateDecember 23, 20258 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1497288799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in GA · 103830✔ Licensed in FL · ME168278
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1513 CLEVELAND AVE, Atlanta, GA 30344

Secondary Practice Locations 2

Location 1455 Lee St SWAtlanta, GA 30310-1408 · Phone (404) 756-1241
Location 235 Jesse Hill Jr Dr SEAtlanta, GA 30303-3032 · Phone (404) 785-9850

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charisse Graham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Charisse Graham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
720 20TH STREET SOUTH
Birmingham, AL 35294
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3500 MEMORIAL PKWY SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 26 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
9827 N. SHELDON RD
Tampa, FL 33635
  • Reassigned Medicare billing, Florida enrollment
  • 145 clinicians in this Medicare group
Multi-Specialty
1319 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 262 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1513 CLEVELAND AVE
ATLANTA, GA 30344
Family Medicine
1513 CLEVELAND AVE, BLDG 500
EAST POINT, GA 30344
Nurse Practitioner (Family)
1513 CLEVELAND AVE
EAST POINT, GA 30344
Psychiatry & Neurology (Psychiatry)
1513 CLEVELAND AVE, BLDG. #300
EAST POINT, GA 30344
Clinic/Center (Primary Care)
1513 CLEVELAND AVE, 500
EAST POINT, GA 30344
Social Worker (Clinical)
1513 CLEVELAND AVE, SUITE 500
EAST POINT, GA 30344
Nurse Practitioner (Pediatrics)
1513 CLEVELAND AVE, BLDG. 500
EAST POINT, GA 30344
Social Worker (Clinical)
1513 CLEVELAND AVE, BUILDING 300
EAST POINT, GA 30344

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 Charisse Graham's NPI number?

The NPI number for Charisse Graham is 1497288799. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Charisse Graham located?

Charisse Graham practices at 1513 Cleveland Ave, Atlanta, GA 30344. The listed phone number is (404) 756-1422.

What is Charisse Graham's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Charisse Graham enrolled in Medicare?

Yes. Charisse Graham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charisse Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charisse Graham reassigns Medicare benefits to 4 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Aids Action Coalition Of Huntsville (Huntsville, AL), Tampa Family Health Centers Inc (Tampa, FL) and Kapiolani Medical Center For Women & Children (Honolulu, HI). Each 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 Charisse Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charisse Graham was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.