Johnnie R Degraw Inc
NPI 1700109915 · Family Medicine Physician · Crystal River, FL
Johnnie R Degraw Inc is a Family Medicine Physician organization in Crystal River, FL (NPI 1700109915).
Provider details
- NPI number
- 1700109915
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnnie Degraw, Owner(352) 794-3872
- License
- PA2646 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
- Adult Health Nurse Practitioner363LA2200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-03
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Johnnie R Degraw Inc's NPI number?
- Johnnie R Degraw Inc's National Provider Identifier (NPI) is 1700109915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnnie R Degraw Inc?
- Johnnie R Degraw Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Johnnie R Degraw Inc located?
- Johnnie R Degraw Inc's practice location on file with NPPES is 5915 W Gulf to Lake Hwy, Crystal River, FL 34429-7565.
- What is Johnnie R Degraw Inc's phone number?
- The practice phone number listed in the NPPES registry for Johnnie R Degraw Inc is (352) 794-3872.
- Who is the authorized official for Johnnie R Degraw Inc?
- The authorized official listed on Johnnie R Degraw Inc's NPPES record is Johnnie Degraw, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnnie R Degraw Inc's NPI active?
- Yes — Johnnie R Degraw Inc's NPI (1700109915) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.