Grover Cleveland Gaddy IV, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN24130 Issued in FL

Practice address

912 Railroad Ave
Tallahassee, FL 32310-4348

Phone

(850) 404-6450

Fax

(850) 921-9770

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1952962508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 RAILROAD AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104348",
            "telephone_number": "850-404-6450",
            "fax_number": "850-921-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 RAILROAD AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323104348",
            "telephone_number": "850-404-6450",
            "fax_number": "850-921-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDY",
        "first_name": "GROVER",
        "middle_name": "CLEVELAND",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN24130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Grover.Gaddy@flhealth.gov",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "912 Railroad Ave",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323104348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Gabor, LCSW
• Carmen Gabor, ARNP-C
• Joseph Gabovitz, A.A.
• Jamie Gabriel
• Gabrielle Curry L.L.C.
• Jasmine J Gadsen
• Samuel J Gage, DC
• Susan Gage
• James M Gagnon, PHD, MSW, LCSW
• Delmonica Nanez Gaillard

• Public Health Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.