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

Marisa Rose Graham, PA-C

Individual provider Physician Assistant · NPI 1194939199

Marisa Rose Graham, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2006, 20 years ago. Practices with Novant Health Urgent Cares LLC, a 184-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
20
Licensed in
NC, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1818 Henderson St
Columbia, SC 29201-2619
Phone: (803) 758-2602
Fax: (803) 253-8896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Folly Rd, Charleston, SC 29412-3432 — (843) 762-2360

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1154 (SC)
Physician Assistant Taxonomy 363A00000X · Licence 0010-01328 (NC)

Record details

NPI number1194939199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESNovember 3, 2024
Certification dateNovember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Novant Health Urgent Cares Llc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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