NPIMap

Individual provider Active NPI

Ashley D Gray, FNP

  • Family Nurse Practitioner
  • Enterprise, MS
National Provider Identifier
1154629178
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R876926 Issued in 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
Last updated
May 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R876926 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000712 MS Practitioner - Nurse Practitioner 2062683949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Regional Medical CenterGroup PAC ID 4284548025, 18 clinicians

Practice addresses (Care Compare)

83 A Old Mill Creek Rd
Enterprise, MS 39330-9649
Phone (601) 704-1020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R876926MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center CurrentSince Mar 17, 2017 Accepting new patients
Anderson Regional Medical Center CurrentSince Mar 17, 2017 Accepting new patients
Medical Services of Meridian, Inc. CurrentSince Mar 26, 2024 Accepting new patients
Anderson Physician Alliance, Inc CurrentSince Mar 1, 2025 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Anderson Regional Medical Center 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

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

Interoperability endpoints

  • Direct secure messaging: agray623668@direct.bmhcc.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1154629178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83A OLD MILL CREEK RD",
            "city": "ENTERPRISE",
            "state": "MS",
            "postal_code": "393309649",
            "telephone_number": "601-704-1020",
            "fax_number": "601-704-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83A OLD MILL CREEK RD",
            "city": "ENTERPRISE",
            "state": "MS",
            "postal_code": "393309649",
            "telephone_number": "601-704-1020",
            "fax_number": "601-704-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ASHLEY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R876926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, MS

Sources for this page

Verify at the official NPI Registry.