Organization Active NPI

W. Wilson Gray Jr., M.D.PHD.P.C.

  • Obstetrics & Gynecology Physician
  • Macon, GA
National Provider Identifier
1114169299
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
W. WILSON GRAY JR., M.D.PHD.P.C.
Practice address
840 Pine St
Suite 910
Macon, GA 31201-2100
Phone
(478) 742-0059
Fax
(478) 746-3086
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Dr. Woodrow Wilson Gray Jr., MD.,PHD.
Title
Physician
Phone
(478) 742-0059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

840 Pine St
Suite 910
Macon, GA 31201-2100

Mailing address

840 Pine St
Suite 910
Macon, GA 31201-2100
Phone (478) 742-0059

Other identifiers 1

IdentifierTypeStateIssuer
00292938CMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1114169299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 910",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-742-0059",
            "fax_number": "478-746-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "SUITE 910",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-742-0059",
            "fax_number": "478-746-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. WILSON GRAY JR., M.D.PHD.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "478-742-0059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD.,PHD."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00292938C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.