Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gregg Travis Graham, FNP

Individual provider Family Nurse Practitioner · NPI 1356401574

Gregg Travis Graham, FNP is a Nurse Practitioner in Concord, North Carolina. Qualified in 2017, 9 years ago. Practices with Orthocarolina, PA, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
9
Licensed in
FL, NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

354 Copperfield Blvd NE
Concord, NC 28025-2402
Phone: (704) 786-5122
Fax: (704) 782-8279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1110 Hospital Road, Fort Walton Beach, FL 32547-6796 — (850) 863-8235

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011714 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9332853 (FL)

Record details

NPI number1356401574
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESJune 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orthocarolina, Pa — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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