Ashley D Gray, FNP
Individual provider Active NPI Family Nurse Practitioner · Enterprise, MS
NPI 1154629178 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1154629178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R876926 (MS)
- Practice address
- 83A Old Mill Creek Rd
Enterprise, MS 39330-9649 - Phone
- (601) 704-1020
- Fax
- (601) 704-1021
- NPI assigned
- Mar 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anderson Regional Medical Center
Practice addresses (Care Compare)
83 A Old Mill Creek Rd
Enterprise, MS 39330-9649
Phone (601) 704-1020
Hospital & facility affiliations
- Centerwell Home Health
- Deaconess Homecare- Region I
- Accentcare Home Health of Carthage
- Anderson Regional Medical Center
- Ochsner Watkins Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110926000712 | MS | Practitioner - Nurse Practitioner | 2062683949 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Anderson Physician Alliance, Inc. | Current |
Accepting new patients | |
| Urology Clinic of Meridian, P.a. | Current | Accepting new patients | |
| Anderson Regional Medical Center | Current | Accepting new patients | |
| Anderson Regional Medical Center | Current |
Accepting new patients | |
| Medical Services of Meridian, Inc. | Current |
Accepting new patients | |
| Anderson Physician Alliance, Inc | Current |
Accepting new patients |
Locations
83A Old Mill Creek Rd
Enterprise, MS 39330
Phone (601) 704-1020
1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511
2124 14th St
Meridian, MS 39301
Phone (601) 483-8811
1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055
1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322
4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- agray623668@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R876926 | MS | Yes |
Addresses
Primary practice location
83A Old Mill Creek Rd
Enterprise, MS 39330-9649
Mailing address
83A Old Mill Creek Rd
Enterprise, MS 39330-9649
Phone (601) 704-1020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09337094 | Medicaid | MS |
Other providers in Enterprise, MS
- Otha Andrae Adams
- Anderson Physician Alliance, Inc.
- Anderson Regional Medical Center
- Enterprise Ambulence Service
- Enterprise Pharmacy LLC
- Justlikehome Supportive Living LLC
- Rest Haven
All providers in Enterprise, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.