MOSES D. DEGRAFT-JOHNSON M.D. – NPI #1194970475
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

MOSES DEGRAFT-JOHNSON is a surgeon located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1194970475 to MOSES DEGRAFT-JOHNSON on November 30, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 9 years ago on May 18, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOSES DEGRAFT-JOHNSON below.

The provider associated with this NPI number, 1194970475, has been excluded by the Office of Inspector General.

Those that are excluded can receive no payment from Federal healthcare programs for any items or services they furnish, order, or prescribe. This includes those that provide health benefits funded directly or indirectly by the United States (other than the Federal Employees Health Benefits Plan). Office of Inspector General

NPI Profile for
MOSES D. DEGRAFT-JOHNSON

NPI Number
1194970475
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOSES D. DEGRAFT-JOHNSON
Credentials
M.D.
Primary location
2623 CENTENNIAL BLVD
SUITE 102
TALLAHASSEE, FL 32308-0585
Phone: (850) 792-4722 Fax: (850) 792-4727
Mailing address
400 CAPITAL CIR SE
STE 18148
TALLAHASSEE, FL 32301-3802
Phone: (850) 792-4722 Fax: (850) 792-4727
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for MOSES DEGRAFT-JOHNSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL010916300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 FL ME106359

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.