TATIANA GRAHAM PA-C
NPI 1629531306
Physician Assistant in Jacksonville, FL

Q: What is Tatiana Graham's NPI number?

The NPI number for Tatiana Graham is 1629531306. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Tatiana Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tatiana Graham was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

90.58/100

CMS Quality Rating

7011 A C SKINNER PKWY STE 160, JACKSONVILLE, FL 32256(904) 493-3333(904) 493-2222 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2022, Dec 19, 2020, Apr 10, 2019 (3 updates tracked since 2019).

On this page

About Tatiana Graham Pa-c NPPES

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

TATIANA GRAHAM PA-C (NPI 1629531306) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9113745) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Orange Park Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629531306

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTATIANA GRAHAMCredential: PA-C

Location Address7011 A C SKINNER PKWY STE 160Jacksonville, FL 32256-6953

Mailing AddressPo Box 551308Jacksonville, FL 32255-1308 · (904) 493-3333 · Fax (904) 493-2222

Phone(904) 493-3333

Fax(904) 493-2222

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 10, 2019

Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1629531306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9113745

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7011 A C SKINNER PKWY STE 160, Jacksonville, FL 32256

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11681 Eagle Harbor Pkwy Ste BFleming Island, FL 32003-4819 · Phone (904) 644-0092 · Fax (904) 644-0099

Location 2205 Zeagler Dr Ste 101Palatka, FL 32177-3860 · Phone (386) 325-2836 · Fax (386) 325-2736

Other Identifiers 1

Medicaid113130200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tatiana Graham Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113319690

PECOS Enrollment IDI20220112002141

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100226

Location2001 Kingsley AveOrange Park, FL 32073 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.89

Promoting Interoperability

100

Improvement Activities

Cost

67.05

Leave this field empty

Other Providers at the Same Location NPPES 20

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

JACKSONVILLE HEALTH ALLIANCE, LLC

Internal Medicine (Interventional Cardiology)