Michael Jerome Grady, D.O.

Specialist · Conyers, GA

Individual Active NPI

NPI number 1083689533

Practice location

1311 Milstead Ave NE
Conyers, GA 30012-3829
Phone
(770) 483-2368
Fax
(770) 785-5080

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NPI record

NPI
1083689533
Entity type
Individual (Type 1)
Enumeration date
February 20, 2006
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 029875 GA

Mailing address

50 Upland Trl
Oxford, GA 30054-2923
Phone
(770) 483-2368
Fax
(770) 785-5080

About Dr. Grady

Michael Jerome Grady, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1311 Milstead Ave NE, Conyers, GA 30012-3829. The NPI number 1083689533 was assigned on February 20, 2006 and the record was last updated on July 13, 2026.

Dr. Grady lists a license in the registry: #029875 (GA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Jerome Grady, D.O.?

The NPI number is 1083689533.

What is the phone number of Dr. Grady?

The phone number listed for the practice location is (770) 483-2368.

Where is Dr. Grady located?

1311 Milstead Ave NE, Conyers, GA 30012-3829.

What is the taxonomy code for Dr. Grady?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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