Active NPI
W. Wilson Gray Jr., M.D.PHD.P.C.
- Obstetrics & Gynecology Physician
- Macon, GA
National Provider Identifier
1114169299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00292938C | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.