Individual provider Active NPI

Vera Gumiela Gray, MMS PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1023413655
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108294 Issued in FL
Practice address
900 Village Square Xing Ste 170
Palm Beach Gardens, FL 33410-4549
Phone
(561) 627-8500
Fax
(844) 959-0418
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108294 FL
Surgical Physician Assistant 363AS0400X PA9108294 FL
Physician Assistant 363A00000X PA9108294 FL Primary

Addresses

Primary practice location

900 Village Square Xing Ste 170
Palm Beach Gardens, FL 33410-4549

Mailing address

900 Village Square Xing Ste 170
Palm Beach Gardens, FL 33410-4549
Phone (561) 627-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VERA.GRAY@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409001701 FL Practitioner - Physician Assistant 3971821612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Practitioners, LLCGroup PAC ID 1658688304, 63 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8635

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108294FLMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: vgray2971394@direct.trinity-health.org
  • Direct secure messaging: vera.gray@hca4.eclinicaldirectplus.com
  • Direct secure messaging: vgray19930@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1023413655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 170",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104549",
            "telephone_number": "561-627-8500",
            "fax_number": "844-959-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 170",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104549",
            "telephone_number": "561-627-8500",
            "fax_number": "844-959-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "VERA",
        "middle_name": "GUMIELA",
        "credential": "MMS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-01-27",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108294",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9108294",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VERA.GRAY@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 Village Square Xing Ste 170",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334104549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.