Gray Matters Pediatric Behavioral Health, PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

GRAY MATTERS PEDIATRIC BEHAVIORAL HEALTH, PLLC

Practice address

300 Southtown Cir
Rolesville, NC 27571-9573

Phone

(919) 435-4784

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer BallNPI 1861971723

Title

Ceo/Owner

Phone

(919) 435-4784

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jennifer Kristen Ball

  • Pediatric Nurse Practitioner
  • Oxford, NC
  • NPI 1861971723

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1144064221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTHTOWN CIR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719573",
            "telephone_number": "919-435-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY MATTERS PEDIATRIC BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "919-435-4784"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Glasco
• Caitlin Kelly Goldsmith, PT, DPT
• Jennifer Lynn Gomez, PT, DPT
• Kenisha Lashae Grant-Hyman, DDS
• Grant&Joyner DDS PA
• Brandon Wayne Griffin, LCMHC
• Jesus Guerrero Jr.
• Denzel Harris, DDS
• Janice L. Heard, DDS, PA
• Holly Heath-Shepard, MSW, LCSW

• Pediatric Nurse Practitioner in Rolesville, NC
• Providers in Rolesville, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.