JOHNNIE R DEGRAW INC
NPI 1700109915
Family Medicine in Crystal River, FL

Q: What is Johnnie R Degraw Inc's NPI number?

The NPI number for Johnnie R Degraw Inc is 1700109915. It was assigned to this organization in the NPPES registry on March 3, 2010.

Q: What is Johnnie R Degraw Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 03, 2010

5915 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 794-3872(352) 794-3876 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johnnie R Degraw Inc NPPES

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

JOHNNIE R DEGRAW INC (NPI 1700109915) is a healthcare organization registered as a family medicine in Crystal River, Florida and active in the NPI registry since March 2010. The organization lists Johnnie R Degraw, Owner, as its authorized official.

NPPES Registry Identity

NPI1700109915

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJOHNNIE R DEGRAW INC

Location Address5915 W GULF TO LAKE HWYCrystal River, FL 34429-7565

Mailing Address5915 W Gulf To Lake HwyCrystal River, FL 34429-7565 · (352) 794-3872 · Fax (352) 794-3876

Phone(352) 794-3872

Fax(352) 794-3876

Organization SubpartNo

Authorized OfficialJohnnie R DegrawOwner · (352) 794-3872

Enumeration DateMarch 3, 2010

Last NPPES UpdateOctober 1, 2020

NPPES CertifiedOctober 1, 2020

✔ NPI 1700109915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2646 (FL)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X

5915 W GULF TO LAKE HWY, Crystal River, FL 34429

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

JAMES R TZIVANIS RPA

Physician Assistant