Individual provider Active NPI

Nicholas John Gray, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1124513817
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12186 Issued in TX
Practice address
7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone
(713) 358-0562
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
Physician Assistant 363A00000X PA12186 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187

Mailing address

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 358-0562

Other practice location 1

18333 Egret Bay Blvd Ste 200
Houston, TX 77058-3200
Phone (281) 841-1233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016000131 TX Practitioner - Physician Assistant 7315299617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales Health System
Gonzales, TX 78629-3311
Phone (830) 672-7581

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

18951 Memorial N
Memorial Hermann Northeast Hospital
Humble, TX 77338-4217
Phone (281) 540-7700

18951 N Memorial Dr
Memorial Hermann N East Outp Img Dept
Humble, TX 77338-4217
Phone (281) 540-7700

38 Lakeview Dr
Galveston, TX 77551-1564
Phone (281) 870-4592

500 Medical Ctr Blvd
Suite 175
Conroe, TX 77304-2899
Phone (936) 539-7100

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 742-0469

6720 Bertner Ave
Houston, TX 77030-2604
Phone (855) 504-4544

6801 Emmett F Lowry Expy
Mainland Medical Center
Texas City, TX 77591-2500
Phone (713) 461-3573

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

8780 Hwy 6 B
MH Conv Care Sienna Plantation
Friendswood, TX 77549
Phone (281) 778-1802

Hospital & facility affiliations

  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12186TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Physician Assistant CurrentSince Oct 29, 2021 Accepting new patients
Eagle Partners, PLLC Past Accepting new patients

Locations

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1124513817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18333 Egret Bay Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583200",
            "country_code": "US",
            "telephone_number": "281-841-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.