Individual provider Active NPI

Jeshua Grach, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1740638337
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN233608 Issued in GA
Practice address
10410 Abercorn St
Savannah, GA 31419-1138
Phone
(912) 927-6832
NPI assigned
May 25, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN233608 GA Primary

Addresses

Primary practice location

10410 Abercorn St
Savannah, GA 31419-1138

Mailing address

10410 Abercorn St
Savannah, GA 31419-1138
Phone (912) 927-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN233608GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Medical Group LLC Past Accepting new patients
HSC Abercorn Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1740638337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191138",
            "telephone_number": "912-927-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 ABERCORN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191138",
            "telephone_number": "912-927-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACH",
        "first_name": "JESHUA",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN233608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.