Individual provider Active NPI

Latonya Shari Gray, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1144060393
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5021393 Issued in NC
Practice address
125 Ashleybrook SQ
Winston Salem, NC 27103-3111
Phone
(336) 765-6577
NPI assigned
May 27, 2024
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021393 NC Primary
Registered Nurse 163W00000X 207095 NC

Addresses

Primary practice location

125 Ashleybrook SQ
Winston Salem, NC 27103-3111

Mailing address

125 Ashleybrook SQ
Winston Salem, NC 27103-3111
Phone (336) 765-6577

Other practice location 1

223 N Main St
Walnut Cove, NC 27052
Phone (336) 310-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250606000436 NC Practitioner - Nurse Practitioner 5698285989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arman C Moshyedi MD PLLCGroup PAC ID 9931435070, 21 clinicians
Triad Psychiatric and Counseling Center PAGroup PAC ID 3173590882, 23 clinicians

Practice addresses (Care Compare)

125 Ashleybrook SQ
Winston Salem, NC 27103-3111
Phone (855) 940-4867

603 Dolley Madison Rd
Suite 100
Greensboro, NC 27410-4282
Phone (336) 632-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
207095NCMDRegistered Nurse
5021393NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Psychiatric and Counseling Center PA CurrentSince May 22, 2025 Accepting new patients
Arman C. Moshyedi, MD, PLLC CurrentSince Feb 2, 2026 Accepting new patients
Gray Skies Wellness, PLLC Psychiatric/Mental Health Current Accepting new patients
Greenbrook TMS Winston-Salem LLC PastSince Feb 7, 2018 Accepting new patients

Locations

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

603 Dolley Madison Rd
Ste 204
Greensboro, NC 27410

223 N Main St
Walnut Cove, NC 27052
Phone (336) 310-5095

125 Ashleybrook Sq
Winston Salem, NC 27103
Phone (336) 632-3505

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1144060393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ASHLEYBROOK SQ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033111",
            "telephone_number": "336-765-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ASHLEYBROOK SQ",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033111",
            "telephone_number": "336-765-6577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Cove",
            "state": "NC",
            "postal_code": "27052",
            "country_code": "US",
            "telephone_number": "336-310-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LATONYA",
        "middle_name": "SHARI",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021393",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "207095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.