Active NPI
Leslie B. Gray, M.D.
- Vascular Surgery Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 15657
- Practice address
- 1800 12TH St
Meridian, MS 39301-4158 - Phone
- (601) 484-6700
- NPI assigned
- Aug 19, 2005
- Last updated
- May 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 15657 | MS | |
| Vascular Surgery Physician | 2086S0129X | 15657 | MS | Primary |
Addresses
Primary practice location
1800 12TH St
Meridian, MS 39301-4158
Mailing address
PO Box 5183
Meridian, MS 39302-5183
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009809700 | Other | AL | MEDICAID OF AL |
| 020038463 | Other | RAILROAD MEDICARE | |
| 00119529 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Tulane University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 484-6700
2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.77 of 100
- Quality
- 85
- Improvement activities
- 0
- Cost
- 76.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Leg revascularization (restoring blood flow) | 15 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Meridian Surgery Center, LLC | Past | Accepting new patients | |
| Rush Medical Foundation | Past | Accepting new patients |
Locations
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
-
dba Ochsner Rush Medical Center Emergency Room Professional Services
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Ambulatory Surgical Clinic/Center
- Meridian, MS
- NPI 1184600736
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Anderson Regional Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1649226952
-
dba Ochsner Rush Medical Center
- General Acute Care Hospital
- Meridian, MS
- NPI 1770543399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1295727766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5183",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-484-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "LESLIE",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "15657",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MS",
"license": "15657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF AL",
"identifier": "009809700",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020038463",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119529",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
- Jacqueline Grant
- Gregory J. Gravell, M.D.
- Jameshia Dachelle Graves, PHARMD.
- Jayden Graves, PTA
- Kaitlyn Gray
- Talmadge Rhodes Gray, PMHNP-BC
- Grayson Optical Inc.
- Nacara S Grayson, APRN-FNP-C
- Greater Meridian Health Clinic, Inc (GMHC Mobile Access Unit 2)
- Greater Meridian Health Clinic, Inc (Greater Meridian Health Clinic, Inc. Hosp)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.