Individual provider · Type 1 NPI

Grady Elmore, N.P.

Nurse Practitioner · Athens, GA

NPI number 1205834009 Active

Practice location

120 Trinity Pl
Athens, GA 30607-2100

Fax (706) 353-3709

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN129091NP (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 1205834009

Grady Elmore, N.P.'s National Provider Identifier is 1205834009, issued on Jul 14, 2005. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Athens, GA. The record was last updated on Jul 13, 2026.