Individual provider Active NPI

Hollie Gray, APRN

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1073153912
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105024 Issued in WV
Practice address
2900 1St Ave Ste 10
Huntington, WV 25702-1241
Phone
(304) 525-6825
NPI assigned
Jan 8, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018294 KY
Family Nurse Practitioner 363LF0000X 105024 WV Primary
Family Nurse Practitioner 363LF0000X 3018294 KY
Registered Nurse 163W00000X 88141 WV

Addresses

Primary practice location

2900 1St Ave Ste 10
Huntington, WV 25702-1241

Mailing address

5000 Ky Route 321 Ste 112
Prestonsburg, KY 41653-9113
Phone (606) 889-6185

Other practice location 1

5000 Ky Route 321 Ste 112
Prestonsburg, KY 41653-9113
Phone (606) 889-6185

Other identifiers 3

IdentifierTypeStateIssuer
7100848850MedicaidKY
1073153912MedicaidWV
30017496130001MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address holliegray@arh.medalliesdirect.net Direct
Direct Messaging Address hollie.gray@smmm.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200320002562 WV Practitioner - Nurse Practitioner 2466880695 Reassigns benefits to 2 organizations
I20221101000655 KY Practitioner - Nurse Practitioner 2466880695 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 1St Ave
Suite 10
Huntington, WV 25702-1241
Phone (304) 525-6825

5000 Ky Route 321
Suite 112
Prestonsburg, KY 41653-9113
Phone (606) 889-6038

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88141WVMDRegistered Nurse
3018294KYMDFamily Nurse Practitioner
105024WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Nurse Practitioner Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince May 21, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Jun 17, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2025 Accepting new patients
United Hospital Center CurrentSince Mar 9, 2020 Accepting new patients
St. Mary's Medical Management, LLC Family CurrentSince Jan 23, 2024 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Practitioner CurrentSince Jun 17, 2022 Accepting new patients
Arh Tug Valley Health Services, Inc. Nurse Practitioner Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2025 Accepting new patients
United Hospital Center, Inc. CurrentSince Mar 9, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Practitioner Current Accepting new patients
Appalachian Regional Healthcare, Inc Family CurrentSince Jul 1, 2025 Accepting new patients
Arh Tug Valley Health Services, Inc. Nurse Practitioner CurrentSince May 21, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Current Accepting new patients
St. Mary's Medical Management, LLC Nurse Practitioner CurrentSince Jan 23, 2024 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Nurse Practitioner Past Accepting new patients

Locations

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

24 Left Penhook Rd
Harold, KY 41635
Phone (606) 478-8787

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

223 Executive Park
Louisville, KY 40207

3602 Cumberland Ave
Ste B102
Middlesboro, KY 40965
Phone (606) 242-1577

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

255 Church St
Ste 101
Pikeville, KY 41501
Phone (606) 260-8613

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Ste 112
Prestonsburg, KY 41653
Phone (606) 889-6038

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

214 Hospital Rd
Ste A
Whitesburg, KY 41858
Phone (606) 633-2255

227 Medical Park Dr
Ste 103
Bridgeport, WV 26330
Phone (681) 342-3561

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

2673 Davisson Run Rd
Ste 303
Clarksburg, WV 26301

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

2900 1st Ave
Ste 10
Huntington, WV 25702
Phone (304) 525-2495

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Interoperability endpoints

  • Direct secure messaging: hollie.gray@smmm.cernerdirect.com
  • Direct secure messaging: holliegray@arh.medalliesdirect.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 4

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1073153912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 KY ROUTE 321 STE 112",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539113",
            "telephone_number": "606-889-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE STE 10",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-525-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Ky Route 321 Ste 112",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-889-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HOLLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018294",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105024",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018294",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "88141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100848850",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073153912",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017496130001",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "holliegray@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "5000 Ky Route 321 Ste 112",
            "city": "Prestonsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416539113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hollie.gray@smmm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2900 1st Ave Ste 10",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257021241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.