MICHAEL JEROME GRADY (NPI# 1083689533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083689533 |
| Entity Type | Individual |
| Full Name | MICHAEL JEROME GRADY |
| Credential | D.O. |
| Practice Address |
1311 Milstead Ave Ne Conyers GA 30012-3829 |
| Mailing Address |
50 Upland Trl Oxford GA 30054-2923 |
| Practice Telephone | 7704832368 |
| Practice Fax Number | 7707855080 |
| Mailing Telephone | 7704832368 |
| Mailing Fax Number | 7707855080 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 029875 | GA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508915273 | Michael I Grady | Pediatrics | 49 Priscilla Rd, Chestnut Hill, MA 02467-3967 | 2007-01-10 |
| 1922014463 | Michael Edward Grady | Family Medicine | 442 Mcclaine St, Silverton, OR 97381-1921 | 2006-08-01 |
| 1013218502 | Michael Cory Grady | Naturopath | 9500 Sw Barbur Blvd, Ste 116, Portland, OR 97219-5466 | 2010-11-15 |
| 1649406307 | Michael K Grady | Internal Medicine | 2720 Surf Ave, Brooklyn, NY 11224-1913 | 2009-06-08 |
| 1659497667 | Michael John Grady | Internal Medicine | 4201 Cathedral Ave Nw, #114w, Washington, DC 20016-4901 | 2007-03-21 |
| 1437291267 | Michael Edward Grady | Dentist | 1801 W Wisconsin Ave, Cpmg B, Milwaukee, WI 53233-2186 | 2007-02-12 |
| 1639182736 | Michael Grady | Physical Therapist | 8821 Knoedl Ct, Little Rock, AR 72205-4600 | 2006-08-13 |
| 1376574111 | Michael J Grady | Pediatrics | 601b Leah Ave, San Marcos, TX 78666-7849 | 2006-07-06 |
| 1750318689 | Michael S Grady | Neurological Surgery | 3400 Spruce St, 3 Silverstein Building, Philadelphia, PA 19104-4206 | 2006-06-27 |
| Street Address |
1311 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871688820 | Sunil Manuel Alexander | Specialist | 1311 Milstead Ave Ne, Conyers, GA 30012-3829 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552371 | Miaz Hair Gallery | Specialist | 1031 Railroad St Nw Ste C, Conyers, GA 30012-5108 | 2019-11-11 |
| 1821582156 | Wanda Woods | Specialist | 3672 Shale Ln Se, Conyers, GA 30013-5112 | 2018-06-20 |
| 1124329628 | Oscar Cornell Gaines | Specialist | 1380 Dogwood Dr Se, Conyers, GA 30013-5039 | 2010-11-15 |
| 1790839157 | Richard M. Robinson, M.d. P.C. | Specialist | 3240 Avalon Boulevard, Conyers, GA 30013-6320 | 2007-01-23 |
| 1942366174 | Richard Alan Gordon | Specialist | 1145 Winterberry Way Se, Conyers, GA 30013-2446 | 2006-12-30 |
| 1871654509 | Chandar Bhimani | Specialist | 1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 | 2006-12-13 |
| 1861550410 | Womens Healthcare and Aesthetics | Specialist | 1403 Manchester Dr Ne, Conyers, GA 30012-3879 | 2006-12-05 |
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1235119207 | Mohamad El-attar | Specialist | 1372 Wellbrook Circle Ne, Conyers, GA 30012 | 2006-01-18 |
| 1154713253 | Kalie Darnell Hair Team | Specialist | 425 Sigman Rd Nw, Suite 120, Conyers, GA 30012-3635 | 2015-02-26 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.