Justice Gabrielle Gray

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4520 E West Hwy Ste 775
Bethesda, MD 20814-0066

Phone

(667) 668-2566

NPI assigned

May 4, 2022

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, VA3 enrollments

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 3

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Psych Associates of Maryland LLC

  dba Bloom Health Centers

  • Psychologist
  • Timonium, MD
  • NPI 1891721981

  DC, VA

  Medicare reassignment Care Compare group
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1043955958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 E WEST HWY STE 775",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208140066",
            "telephone_number": "667-668-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 E WEST HWY STE 775",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208140066",
            "telephone_number": "667-668-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Radio Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243546587",
            "country_code": "US",
            "telephone_number": "276-944-6342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7401 Carmel Executive Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264219",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Executive Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251838",
            "country_code": "US",
            "telephone_number": "704-237-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4520 E West Hwy Ste 775",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208140066",
            "country_code": "US",
            "telephone_number": "205-593-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JUSTICE",
        "middle_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie P Grant, CRNP
• Paul Joseph Grant, M.D.
• Pete Grasso, DPT
• Gray Family Medicine
• Debra Mohr Gray, RDH
• Kerri J Gray, MD
• Kevin L Gray, MD
• Quinton A. Gray
• John Christopher Graybill, M.D.
• Sky Denniston Graybill, M.D.

• Physician Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.