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Export Provider Record NPI 1114173846
Tamara Nicole GrahamPA-C
Active
NPI Number1114173846
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1114173846
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2008-08-13
Last Updated2025-08-22
Mailing Address1944 Centerville Tpke Ste 102
Virginia Beach, VA 23464-6839
United States
Phone: (757) 271-4540 | Fax: (757) 222-9294
📍 View Map
Primary Practice Address1944 Centerville Tpke Ste 102
Virginia Beach, VA 23464-6839
United States
Phone: (757) 271-4540 | Fax: (757) 222-9294
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantVA0110002814
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About NPI 1114173846

Tamara Nicole Graham PA-C is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114173846. The primary specialty listed is Physician Assistant. The provider is located in Virginia Beach, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-08-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1114173846?

NPI 1114173846 belongs to Tamara Nicole Graham PA-C, a Physician Assistant in Virginia Beach, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1114173846 active?

The current status of NPI 1114173846 in the NPPES registry is Active. The record was last updated on 2025-08-22.

What specialty is NPI 1114173846?

NPI 1114173846 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1114173846?

You can verify NPI 1114173846 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1114173846?

The primary practice address on file for NPI 1114173846 is 1944 Centerville Tpke Ste 102, Virginia Beach, VA 23464-6839. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1114173846 issued?

NPI 1114173846 was first issued (enumerated) on 2008-08-13. The NPPES record was last updated on 2025-08-22.

Practice Location Map

Tamara Nicole Graham is located at 1944 Centerville Tpke Ste 102, Virginia Beach, VA. Use the map below to find directions or verify the practice location.

📍 1944 Centerville Tpke Ste 102, Virginia Beach, VA 23464-6839  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tamara Nicole Graham. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1114173846. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant0110002814VA
Data Verified from CMS NPPES Last synced: 2026-06-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162