Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Kathleen Vaughan Graves, PA-C

Individual provider Physician Assistant · NPI 1336562743

MS. Mary Kathleen Vaughan Graves, PA-C is a Physician Assistant in Richmond, Virginia. Qualified in 2013, 13 years ago. Practices with Commonwealth Dermatology PC, a 14-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014
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

7001 Forest Ave Ste 400
Richmond, VA 23230-1726
Phone: (804) 282-0831
Fax: (804) 288-7135
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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 0110004468 (VA)

Record details

NPI number1336562743
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2014
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

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 Commonwealth Dermatology Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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