Faith M. Gray, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036165 Issued in GA

Legal business name

FAITH M. GRAY, M.D., INC.

Practice address

3993 Lawrenceville Hwy NW
Suite 115
Lilburn, GA 30047-2897

Phone

(770) 806-8710

Fax

(770) 806-0564

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Faith M Gray, MDNPI 1295768034

Title

President/Ceo

Phone

(770) 806-8710

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Michelle Gray, M.D.

  • Internal Medicine Physician
  • Lilburn, GA
  • NPI 1295768034
  NPD Authorized official

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1114286945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300480308",
            "telephone_number": "770-806-8710",
            "fax_number": "770-806-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW",
            "address_2": "SUITE 115",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472897",
            "telephone_number": "770-806-8710",
            "fax_number": "770-806-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH M. GRAY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-806-8710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "036165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.