Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ryan Gravolet, MD

Individual provider Diagnostic Radiology Physician · NPI 1609294578

Ryan Gravolet, MD is a Diagnostic Radiology in Marietta, Georgia. Graduated from Louisiana State University School of Medicine in New Orleans in 2014, 12 years ago. Practices with Pro Radiology LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
GA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone: (770) 405-2976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 84900 (GA)

Record details

NPI number1609294578
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2014
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing addressPo Box 3157, Indianapolis, IN 46206-3157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2014 (12 years in practice)
Group practice Pro Radiology Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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