Active NPI
Woodrow Wilson Gray Jr., MD PHD
- Obstetrics & Gynecology Physician
- Macon, GA
National Provider Identifier
1275582272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 026284
- Practice address
- 840 Pine St
Suite 910
Macon, GA 31201 - Phone
- (478) 742-0059
- Fax
- (478) 746-3086
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 026284 | GA | Primary |
Addresses
Primary practice location
840 Pine St
Suite 910
Macon, GA 31201
Mailing address
840 Pine St
Suite 910
Macon, GA 31201
Phone (478) 742-0059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00292938C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026284 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268006400000",
"number": "1275582272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 PINE ST",
"address_2": "SUITE 910",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-742-0059",
"fax_number": "478-746-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 PINE ST",
"address_2": "SUITE 910",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-742-0059",
"fax_number": "478-746-3086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "WOODROW",
"middle_name": "WILSON",
"name_suffix": "Jr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2010-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "026284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00292938C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.