DR. GRADY H JOHNSON (NPI# 1629256110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629256110 |
| Entity Type | Individual |
| Full Name | DR. GRADY H JOHNSON |
| Credential | M.D. |
| Practice Address |
227 Industrial Blvd Dublin GA 31021-2969 |
| Practice Telephone | 4782728494 |
| Practice Fax Number | 4782728498 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2010-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 017459 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PEACH STATE | 000066976B | 01 |
| GA | RAILROAD | 407113580 | 01 |
| GA | AMERIGROUP | 10062306 | 01 |
| GA | 000066976B | 05 | |
| GA | WELLCARE | 322591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861508715 | Grady Earl Johnson Jr. | Dentist | 4273 Point La Vista Rd S, Jacksonville, FL 32207-6243 | 2006-08-22 |
| 1265706493 | Grady Johnson | Counselor | 148 Bay St, 2nd Floor, Staten Island, NY 10301-2503 | 2012-03-06 |
| Street Address |
227 INDUSTRIAL BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992828289 | Rodney Marc Johnson | Allergy & Immunology | 227 Industrial Blvd, Dublin, GA 31021-2969 | 2007-04-09 |
| 1275198129 | Kavuri & Collier Internal Medicine, LLC | Internal Medicine | 227 Industrial Blvd, Dublin, GA 31021-2969 | 2019-05-07 |
| 1578951190 | Middle Georgia Allergy and Asthma LLC | Allergy & Immunology | 227 Industrial Blvd, Dublin, GA 31021-2969 | 2015-01-05 |
| 1598831299 | Grady Hugh Johnson Md PC | Family Medicine | 227 Industrial Blvd, Dublin, GA 31021 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1780218479 | Optimal Health Medical Clinic Inc | Family Medicine | 7050 Dublin Blvd, Dublin, CA 94568-3017 | 2020-03-03 |
| 1184187791 | Home Visit Care, LLC | Family Medicine | 5110 Silver Woods Ln, Dublin, OH 43016-7073 | 2019-04-10 |
| 1851862403 | Physicians Wellness Group LLC | Family Medicine | 6275 Emerald Parkway, Dublin, OH 43016 | 2018-12-07 |
| 1831505759 | Health & Wellness Medical Center | Family Medicine | 5050 Blazer Pkwy Ste 101, Dublin, OH 43017-3361 | 2014-07-11 |
| 1942649108 | James Worthy Gahman | Family Medicine | 6227 Donegan Way, Dublin, OH 43016-6172 | 2013-06-21 |
| 1053756163 | Nicole Kornder | Family Medicine | 3900 Stoneridge Ln Ste C, Dublin, OH 43017-2289 | 2013-05-02 |
| 1194082602 | Kelly Nicole Rebkovich | Family Medicine | 4550 Lee Hwy Ste B, Dublin, VA 24084-3802 | 2012-04-20 |
| 1386900470 | Margaret Moonhyung Lee | Family Medicine | 7450 Hospital Dr Ste 4500, Dublin, OH 43016-9693 | 2012-04-03 |
| 1508176389 | David Earl Stanley | Family Medicine | 7765 Crawley Dr, Dublin, OH 43017-8820 | 2010-10-14 |
| Find all providers in DUBLIN | ||||
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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.