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GRAHAM DERMATOLOGY PA
NPI 1619208345
Specialist in Mebane, NC

Active since January 20, 2010CLIA 34D1084817 · Microscopy
202 FIELDALE RD, MEBANE, NC 27302(919) 304-5900(919) 304-5901 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Graham Dermatology Pa NPPES

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

GRAHAM DERMATOLOGY PA (NPI 1619208345) is a healthcare organization registered as a specialist in Mebane, North Carolina and active in the NPI registry since January 2010. The organization holds a CLIA Microscopy certificate valid through June 3, 2028 and lists Spencer Ellis, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1619208345
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAHAM DERMATOLOGY PA
Location Address202 FIELDALE RDMebane, NC 27302-9177
Mailing Address202 Fieldale RdMebane, NC 27302-9177 · (919) 304-5900 · Fax (919) 304-5901
Phone(919) 304-5900
Fax(919) 304-5901
Organization SubpartNo
Authorized OfficialSpencer EllisDirector Of Operations · (919) 304-5900
Enumeration DateJanuary 20, 2010
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1619208345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 2006-01011
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
202 FIELDALE RD, Mebane, NC 27302
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graham Dermatology 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 Graham Dermatology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ana Benitez Graham, M.D.
Dermatology
NPI 1619197845
3940 ARROWHEAD BLVD STE 210
Mebane, NC 27302
(919) 304-5900
✔ PECOS✔ Accepts Medicare0.3 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1084817

Graham Dermatology PA · Mebane, NC
Active · expires Jun 3, 2028
CLIA Number34D1084817
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorAna Benitez-Graham
Laboratory Phone(336) 226-8000
Laboratory LocationGraham Dermatology PA202 Fieldale Road, Mebane, NC 27302
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Graham Dermatology PA's NPI number?

The NPI number for Graham Dermatology PA is 1619208345. It was assigned to this organization in the NPPES registry on January 20, 2010.

Where is Graham Dermatology PA located?

Graham Dermatology PA is located at 202 Fieldale Rd, Mebane, NC 27302. The listed phone number is (919) 304-5900.

What is Graham Dermatology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Graham Dermatology PA enrolled in Medicare?

Yes. Graham Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graham Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Graham Dermatology 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.

Does Graham Dermatology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1084817) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graham Dermatology PA was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.