Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL JEROME GRADY D.O.
NPI 1083689533
Specialist in Conyers, GA

Active since February 20, 2006
1311 MILSTEAD AVE NE, CONYERS, GA 30012(770) 483-2368(770) 785-5080 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Jerome Grady D.o. NPPES

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

MICHAEL JEROME GRADY D.O. (NPI 1083689533) is an individual specialist in Conyers, Georgia, licensed in Georgia (029875) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1083689533
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL JEROME GRADYCredential: D.O.
Location Address1311 MILSTEAD AVE NEConyers, GA 30012-3829
Mailing Address50 Upland TrlOxford, GA 30054-2923 · (770) 483-2368 · Fax (770) 785-5080
Fax(770) 785-5080
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083689533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 029875
Definition
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.
1311 MILSTEAD AVE NE, Conyers, GA 30012

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Administrator)
1311 MILSTEAD AVE NE
CONYERS, GA 30012
Specialist
1311 MILSTEAD AVE NE
CONYERS, GA 30012

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 Michael Grady's NPI number?

The NPI number for Michael Grady is 1083689533. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Michael Grady located?

Michael Grady practices at 1311 Milstead Ave NE, Conyers, GA 30012. The listed phone number is (770) 483-2368.

What is Michael Grady's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Grady was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.