Individual provider · Type 1 NPI

Gregory Raymon Ford Jr.

Nurse Practitioner · Douglasville, GA

NPI number 1003428574 Active

Practice location

5188 Carter Way
Douglasville, GA 30135-7170

Other practice locations

  • 2702 Schaul St, Columbus, GA 31906-2123 · (706) 641-2441

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9480288 (FL)
Nurse Practitioner Primary 363L00000XAPRN-NP334093 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1003428574

Gregory Raymon Ford Jr.'s National Provider Identifier is 1003428574, issued on Aug 17, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Douglasville, GA. The record was last updated on Feb 2, 2026.