JOHNNIE R DEGRAW INC – Family Medicine Physician, NPI 1700109915

JOHNNIE R DEGRAW INC is a healthcare provider. based in Crystal river, Florida. specializing in Family Medicine Physician. The organization holds a License No. PA2646 (FL). The NPI Number for JOHNNIE R DEGRAW INC is 1700109915

Main info

Organization
Name
JOHNNIE R DEGRAW INC
NPI
1700109915
Phone
(352) 794-3872
Address
5915 W GULF TO LAKE HWY
Authorized Official
JOHNNIE R DEGRAW OWNER MD
Enumeration Date
3 March 2010
Last Update Date
1 October 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JOHNNIE R DEGRAW INC

  • Gulf to Lake Highway, Crystal River, Citrus County, Florida, 34429, United States

    CRYSTAL RIVER, FL 344297565

    Phone: (352) 794-3872

    Fax: (352) 794-3876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34429)

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Reviews

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Frequently asked questions

Can I cross-check JOHNNIE R DEGRAW INC using NPI 1700109915?
NPI 1700109915 belongs to JOHNNIE R DEGRAW INC; compare other details if you need extra assurance.
Is JOHNNIE R DEGRAW INC still an active registrant?
JOHNNIE R DEGRAW INC carries an active NPI according to the public dataset.
What area of care is associated with JOHNNIE R DEGRAW INC?
JOHNNIE R DEGRAW INC's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is JOHNNIE R DEGRAW INC associated with Crystal River?
Public fields place JOHNNIE R DEGRAW INC around Crystal River, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for JOHNNIE R DEGRAW INC is noted as March 3, 2010 where the registry provides it.

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