NPIMap

Organization Active NPI

Patrick Gray Obstetrics & Gynecology, PC

  • Specialist
  • Dunn, NC
National Provider Identifier
1073694154
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
27683 Issued in NC
Legal business name
PATRICK GRAY OBSTETRICS & GYNECOLOGY, PC
Practice address
103 Hunt Dr
Dunn, NC 28334-4987
Phone
(910) 892-0200
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Patrick Hampton Gray, M.D.NPI 1568472132
Title
President
Phone
(910) 892-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 27683 NC Primary

Addresses

Primary practice location

103 Hunt Dr
Dunn, NC 28334-4987

Mailing address

103 Hunt Dr
Dunn, NC 28334-4987
Phone (910) 892-0200

Other identifiers 2

IdentifierTypeStateIssuer
0260EOtherNCBLUE CROSS BLUE SHIELD NC
89-0260EMedicaidNC

National Provider Directory

National Provider Directory

Locations

103 Hunt Dr
Dunn, NC 28334
Phone (910) 892-0200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1073694154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HUNT DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344987",
            "telephone_number": "910-892-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HUNT DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344987",
            "telephone_number": "910-892-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK GRAY OBSTETRICS & GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HAMPTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-892-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "27683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "0260E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0260E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.