Active NPI
Cynthia Middleton Gray, FNP
- Family Nurse Practitioner
- Winnsboro, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 03706
- Practice address
- 2106 Loop Rd
Winnsboro, LA 71295-3344 - Phone
- (318) 435-9411
- Fax
- (318) 435-3842
- NPI assigned
- Mar 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 03706 | LA | Primary |
Addresses
Primary practice location
2106 Loop Rd
Winnsboro, LA 71295-3344
Mailing address
PO Box 1300
Winnsboro, LA 71295-1300
Phone (318) 435-9411
Other practice location 1
307 Chisum St
Sicily Island, LA 71368-4807
Phone (318) 389-5727 ext. 205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1378127 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265
Hospital & facility affiliations
- Franklin Medical Center
- Richland Parish Hospital-Delhi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03706 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catahoula Parish Hospital District No 2 | Current | Accepting new patients | |
| Franklin Parish Hospital Service Dist 1 | Current | Accepting new patients | |
| Catahoula Parish Hospital District No 2 | Current | Accepting new patients | |
| Franklin Parish Hospital Service Dist 1 | Current | Accepting new patients | |
| Jimmy R Coughran a Medical Corporation | Current | Accepting new patients | |
| Ronald J Morgan, a Professional Medical Corporation | Past | Accepting new patients | |
| Hospital Service District No 1-a of the Parish of Richland State of la | Past | Accepting new patients | |
| Franklin Parish Hospital | Past | Accepting new patients |
Locations
1010 Davis Lake Rd
Columbia, LA 71418
Phone (318) 649-3766
104 Verona St
Newellton, LA 71357
Phone (318) 467-2349
448 Newton St
Saint Joseph, LA 71366
Phone (318) 412-5265
307 Chisum St
Sicily Island, LA 71368
Phone (318) 389-5727
5745 Highway 17
Winnsboro, LA 71295
Phone (318) 722-3333
2106 Loop Rd
Ste A
Winnsboro, LA 71295
Phone (318) 435-6363
2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571
2106 Loop Rd
Ste B
Winnsboro, LA 71295
Phone (318) 338-3540
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Organizations & group practices 8
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.
-
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1619143120
-
- Federally Qualified Health Center (FQHC)
- Sicily Island, LA
- NPI 1770622631
-
- Family Medicine Physician
- Winnsboro, LA
- NPI 1982748224
-
- Federally Qualified Health Center (FQHC)
- Ferriday, LA
- NPI 1245097492
-
- Rural Health Clinic/Center
- Gilbert, LA
- NPI 1669002002
-
- Psychiatric Hospital Unit
- Winnsboro, LA
- NPI 1093763526
-
- Critical Access Hospital Clinic/Center
- Delhi, LA
- NPI 1851317911
-
- Family Medicine Physician
- Mangham, LA
- NPI 1184868788
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Winnsboro, LA
- NPI 1356399539
-
- Critical Access Hospital
- Delhi, LA
- NPI 1336109768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543449600000",
"number": "1104140987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712951300",
"telephone_number": "318-435-9411",
"fax_number": "318-435-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 LOOP RD",
"city": "WINNSBORO",
"state": "LA",
"postal_code": "712953344",
"telephone_number": "318-435-9411",
"fax_number": "318-435-3842"
}
],
"practiceLocations": [
{
"address_1": "307 Chisum St",
"address_purpose": "LOCATION",
"city": "Sicily Island",
"state": "LA",
"postal_code": "713684807",
"country_code": "US",
"telephone_number": "318-389-5727 x205",
"fax_number": "318-389-4028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"replacement_npi": "1104140987",
"last_name": "GRAY",
"first_name": "CYNTHIA",
"middle_name": "MIDDLETON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-11",
"last_updated": "2018-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "03706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1378127",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winnsboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.