Anna Nicole Gray, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

29138 Issued in SC

Practice address

719 Okatie Hwy # 170
Okatie, SC 29909-3963

Phone

(843) 987-7400

NPI assigned

Aug 7, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fetter Health Care Network IncGroup PAC ID 9032215199, 26 clinicians

Beaufort Jasper Hampton Comprehensive Health Services IncGroup PAC ID 5597675728, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

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.

• Beaufort Jasper Hampton Comprehensive Health Services, Inc.

  dba BJHCHS, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ridgeland, SC
  • NPI 1649276148
  Medicare reassignment Care Compare group NPD
• Fetter Health Care Network, Inc.

  dba Fetter Health Care Network-Downtown Site

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304
  Medicare reassignment Care Compare group
• Beaufort Jasper Hampton Comprehensive Health Services, Inc

  dba Varnville Medical Center

  • Federally Qualified Health Center (FQHC)
  • Varnville, SC
  • NPI 1073318259
  NPD
• Beaufort-Jasper-Hampton Comprehensive Health Service Inc

  dba Chelsea Health Center Pharmacy

  • Community/Retail Pharmacy
  • Okatie, SC
  • NPI 1578607248
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beaufort County Memorial Hospital

  • General Acute Care Hospital
  • Beaufort, SC
  • NPI 1366436073
  Care Compare affiliation

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1205666807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 MARSHFIELD RD",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557819",
            "telephone_number": "843-302-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OKATIE HWY # 170",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299093963",
            "telephone_number": "843-987-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3741 Marshfield Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294557819",
            "country_code": "US",
            "telephone_number": "843-302-4109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANNA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Eye Institute of the Southeast, LLC
• Natalie L Getty, NP
• Tina Renell Goethie-Lyons, APRN, MSN, FNP-BC
• Heather Jean Goldberg, PSYD
• Golf Cart Chiropractic, LLC
• Donna M Hall, PT
• Halo Primary Care, LLC
• Lachiana A Hamilton, ARNP
• Harbor Point Dentistry, LLC
• Jonathan Carl Harroff, DDS

• Family Nurse Practitioner in Okatie, SC
• Providers in Okatie, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.