Johnnie R Degraw Inc
NPI 1700109915ActiveOrganization· Family Medicine· Crystal River, FL
Family Medicine in Crystal River, Florida, registered in NPPES in March 2010. The authorized official on file is Johnnie R. Degraw, MD, Owner.
Overview
| NPI | 1700109915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 3, 2010 |
| Last updated in NPPES | Oct 1, 2020 |
| Certified by provider | Oct 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant, Medical | 363AM0700X | PA2646 | FL |
| Nurse Practitioner, Adult Health | 363LA2200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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