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

Tatiana Graham, PA-C

Individual provider Physician Assistant · NPI 1629531306

Tatiana Graham, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2020, 6 years ago. Practices with First Coast Cardiovascular Institute, LLC, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2019
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

7011 A C Skinner Pkwy Ste 160
Jacksonville, FL 32256-6953
Phone: (904) 493-3333
Fax: (904) 493-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1681 Eagle Harbor Pkwy Ste B, Fleming Island, FL 32003-4819 — (904) 644-0092
  • 205 Zeagler Dr Ste 101, Palatka, FL 32177-3860 — (386) 325-2836

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113745 (FL)

Record details

NPI number1629531306
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice First Coast Cardiovascular Institute, Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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