Logan Gabriel Graddy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2007-00070 Issued in NC

Practice address

910 Broad St
Durham, NC 27705-4142

Phone

(919) 416-4191

Fax

(888) 805-6175

NPI assigned

Feb 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• New Hope Urgent Care-PLLC

  dba New Hope Urgent Care

  • Urgent Care Clinic/Center
  • Durham, NC
  • NPI 1275839375
  NPD
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1548490378
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1932377280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054142",
            "telephone_number": "919-416-4191",
            "fax_number": "888-805-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054142",
            "telephone_number": "919-416-4191",
            "fax_number": "888-805-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADDY",
        "first_name": "LOGAN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2007-00070",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NC",
            "license": "2007-00070",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911215",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Home Care Services, Inc.
• Grace Physical Therapy
• Sara Fransen Grace, M.D.
• Gracious Growth NC LLC
• Stanley Jason Graczyk, D.C.
• Margaret Gradison, M.D.
• Alyesha Nicole Grady, DPT
• Megan Michelle Grady, PA-C
• Trisha Layne Grady, MSW, LCSW
• Nicole Marie Graf-Perkins, PA-C

• Psychiatry Physician in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.