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MR. GREGORY RAYMON FORD JR.
NPI 1003428574
Nurse Practitioner in Douglasville, GA

Active since August 17, 2020
5188 CARTER WAY, DOUGLASVILLE, GA 30135(678) 230-4555 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2026, Aug 17, 2020 (2 updates tracked since 2020).

About Mr. Gregory Raymon Ford Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY RAYMON FORD JR. (NPI 1003428574) is an individual nurse practitioner in Douglasville, Georgia, licensed in Georgia (APRN-NP334093) and active in the NPI registry since August 2020. He maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1003428574
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. GREGORY RAYMON FORD JR.
Location Address5188 CARTER WAYDouglasville, GA 30135-7170
Mailing Address5188 Carter WayDouglasville, GA 30135-7170 · (904) 445-7228
Phone(678) 230-4555
Sole ProprietorNo
Enumeration DateAugust 17, 2020
Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1003428574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · APRN-NP334093
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9480288 (FL)
5188 CARTER WAY, Douglasville, GA 30135
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Secondary Practice Location 1

Location 12702 Schaul StColumbus, GA 31906-2123 · Phone (706) 641-2441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Ford's NPI number?

The NPI number for Gregory Ford is 1003428574. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Gregory Ford located?

Gregory Ford practices at 5188 Carter Way, Douglasville, GA 30135. The listed phone number is (678) 230-4555.

What is Gregory Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gregory Ford was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.