Justin W Gray

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005049 Issued in OH

Practice address

813 Bryden Rd
Columbus, OH 43205-1759

Phone

(614) 392-7253

NPI assigned

Jun 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1114762663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 ARNSBY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432325949",
            "telephone_number": "614-464-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BRYDEN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051759",
            "telephone_number": "614-392-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JUSTIN",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliott Addison Gray
• Jaclyn Gray, MHA, RN, LSN
• Jacquelyn Lureye Gray, RN
• James Milton Gray II, RN BSN
• Jillian Noele Gray, D.D.S.
• Katelyn Elizabeth Gray, DO
• Kevin Duncan Gray, MD
• Kevon Gray, PT, DPT
• Lauren Michelle Gray, NP
• Linda S Gray, M.D.

• Peer Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.