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Johnnie R Degraw Inc

Family Medicine Physician in Crystal River, FL · enumerated 2010 · authorized official Johnnie Degraw, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700109915

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Registry record

Entity type Organization (Type 2)
Legal business name Johnnie R Degraw Inc
Practice address 5915 W Gulf To Lake Hwy, Crystal River, FL, 34429
Phone (352) 794-3872
Fax (352) 794-3876
Enumeration date Mar 3, 2010
Last updated in NPPES Oct 1, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA2646 (FL) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Johnnie Degraw
Title Owner
Phone (352) 794-3872

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Johnnie R Degraw Inc?
NPPES lists Johnnie Degraw (Owner) as the authorized official for this organization.
What is the NPI number for Johnnie R Degraw Inc?
The NPI for Johnnie R Degraw Inc is 1700109915, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-01.