Individual provider Active NPI

Nicole Marie Gray, FNP-C

  • Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1295059301
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024299 Issued in NC
Practice address
2315 Court Dr
Gastonia, NC 28054-2151
Phone
(704) 671-5343
NPI assigned
Mar 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 30276 SC
Nurse Practitioner 363L00000X 5024299 NC Primary

Addresses

Primary practice location

2315 Court Dr
Gastonia, NC 28054-2151

Mailing address

2334 Burbank Dr
Lake View, NY 14085-9471
Phone (757) 375-1620

Other practice location 1

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 522-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NH, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160613002440 NY Practitioner - Nurse Practitioner 5597921361 Reassigns benefits to 2 organizations
I20240808003360 NH Practitioner - Nurse Practitioner 5597921361 Reassigns benefits to 1 organization
I20251022002915 SC Practitioner - Nurse Practitioner 5597921361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians

Practice addresses (Care Compare)

300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340047NYMDObstetrics & Gynecology Physician
5024299NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Jul 15, 2024 Accepting new patients
Catholic Medical Center CurrentSince Jul 15, 2024 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 21, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Apr 2, 2016 Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jul 21, 2025 Accepting new patients
Kaleida Health CurrentSince Jun 15, 2016 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Apr 2, 2016 Accepting new patients
Kaleida Health CurrentSince Jun 15, 2016 Accepting new patients
Kaleida Health Current Accepting new patients
Beaufort County Memorial Hospital Past Accepting new patients
Riverside Physician Services, Inc. Past Accepting new patients

Locations

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

Elm and Carlton St
Buffalo, NY 14263

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

116 Interstate Pkwy
#2
Bradford, PA 16701

955 Ribaut Rd
#C
Beaufort, SC 29902

300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746

989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351

Interoperability endpoints

  • Direct secure messaging: nicole.gray.1@16436.direct.athenahealth.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1295059301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 BURBANK DR",
            "city": "LAKE VIEW",
            "state": "NY",
            "postal_code": "140859471",
            "telephone_number": "757-375-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542151",
            "telephone_number": "704-671-5343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Midtown Dr",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299065200",
            "country_code": "US",
            "telephone_number": "843-522-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "30276",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.