Moses Desmond Degraft-Johnson, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME106359 Issued in FL

Practice address

2623 Centennial Blvd
Suite 102
Tallahassee, FL 32308-0585

Phone

(850) 792-4722

Fax

(850) 792-4727

NPI assigned

Nov 30, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thoracic Innovation, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Davie, FL
  • NPI 1326335548
  NPD (past) Authorized official
• Thorvasc PA

  • Vascular Surgery Physician
  • Tallahassee, FL
  • NPI 1831589803
  Authorized official Same address or phone
• Degraft-Johnson Medical Associates PC

  • Family Medicine Physician
  • Kingshill, VI
  • NPI 1457674954
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1194970475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPITAL CIR SE",
            "address_2": "STE 18148",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013802",
            "telephone_number": "850-792-4722",
            "fax_number": "850-792-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD",
            "address_2": "SUITE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080585",
            "telephone_number": "850-792-4722",
            "fax_number": "850-792-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAFT-JOHNSON",
        "first_name": "MOSES",
        "middle_name": "DESMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-30",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME106359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010916300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deeper Health, P.a.
• Deerfield Beach Physician Services, LLC
• Lisa Barrett Dees, FNP-C
• Ajita V Degala, M.D
• Azzurra Degliuomini
• Jason E Degroff, D.P.T.
• Kaycee Dehennis, LCSW
• Moritz Eduard Dehler, M.D.
• Paul S Deitchman, PHD
• Andrea C Del Valle Uribe, FNP

• Vascular Surgery Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.