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

MS. Kelly Graham, PA-C

Individual provider Surgical Physician Assistant · NPI 1588093157

MS. Kelly Graham, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2013, 13 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2013
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

960 Johnson Ferry Rd Ste 100
Atlanta, GA 30342-1631
Phone: (404) 252-9063
Fax: (404) 252-0873
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 006982 (GA)

Record details

NPI number1588093157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2013
Last updated in NPPESOctober 1, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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