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

Marian Theresa Graham

Individual provider Physician Assistant · NPI 1134852791

Marian Theresa Graham is a Physician Assistant in Clarksville, Tennessee. Qualified in 2023, 3 years ago. Practices with Medical Direct Care PLC, a 2-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

190 Hatcher Ln Ste B
Clarksville, TN 37043-5989
Phone: (931) 221-0902
Fax: (931) 221-0602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18404 (TX)

Record details

NPI number1134852791
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2022
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Medical Direct Care Plc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clarksville