Gray Reign Medical, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRAY REIGN MEDICAL, PLLC

Practice address

6255 28TH Street SE
Suite 2
Grand Rapids, MI 49546

Phone

(616) 980-0901

Fax

(616) 980-2231

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Afriyie Gray, D.ONPI 1477842904

Title

Owner

Phone

(616) 980-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Afriyie Makel Gray, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Grand Rapids, MI
  • NPI 1477842904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1134909575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 28TH STREET SE",
            "address_2": "SUITE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-980-0901",
            "fax_number": "616-980-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 28TH STREET SE",
            "address_2": "SUITE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-980-0901",
            "fax_number": "616-980-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY REIGN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2024-03-25",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "AFRIYIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-980-0901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Hansen Gratz, PHD
• Monica Joy Graveling, RBT
• Bethany Gravert, MA, LPC, SCL
• Amanda Graves, LLMSW
• Claire Victoria Graves, M.A., LLPC
• Gray Space Nutrition LLC
• Adele Gray, D.D.S.
• Afriyie Makel Gray, DO
• Athelia Gray
• Ellyn Joyce Gray, MD

• Family Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.