John Gravgaard, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1028021

Practice address

655 7TH St
78 MDG/Sgomf
Robins Afb, GA 31098-2227

Phone

(478) 327-7880

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• 78 MDG Robins Afb, Ga

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Robins Afb, GA
  • NPI 1215907563
  NPD (past)
• Houston County Emergency Group, LLC

  • Emergency Medicine Physician
  • Perry, GA
  • NPI 1467873547
  NPD (past)
• Houston Emergency Physicians LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1558319947
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578545281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SWEET BAY RD",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472127",
            "telephone_number": "478-224-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH ST",
            "address_2": "78 MDG/SGOMF",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310982227",
            "telephone_number": "478-327-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVGAARD",
        "first_name": "JOHN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1028021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Freeney, LCSW
• Matthew Philip Gagnon, M.D.
• Seritha Carol Gilbert, RPH
• Tommi Lynn Gill, NP
• Kimberly Grady, DDS
• Emily Graze, LCPC, PSY.D., ABPP
• Ian Alexander Hamilton
• Michael Hammerbacher, AUD
• Jonathan Troy Hancock, DO
• Michael Anthony Harabaglia, MD

• Physician Assistant in Robins Afb, GA
• Providers in Robins Afb, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.