Pamela A Gray, MN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN094164 Issued in GA

Practice address

465 N Belair Rd
Suite 2B
Evans, GA 30809-3188

Phone

(706) 774-7400

Fax

(706) 774-7590

NPI assigned

Jun 1, 2006

Last updated

Oct 5, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1336413954
  NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1871885806
  NPD
• University Primary Care

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1124231808
  NPD
• University Cardiology Associates LLC

  dba Augusta Heart Associates

  • Cardiovascular Disease Physician
  • Augusta, GA
  • NPI 1902198369
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1295772069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "SUITE 2B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-774-7400",
            "fax_number": "706-774-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD",
            "address_2": "SUITE 2B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093188",
            "telephone_number": "706-774-7400",
            "fax_number": "706-774-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN094164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000895947B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deundra Loraine Graham, FNP
• Vanessa Wyche Graham, PHD, MSN, RN, LPC
• Nina Grandin, O.T.
• Shante Grant
• Natisha Gray
• Roland H Green Jr., M.D.
• Skyla Green
• Toreya Green, RBT
• Greenbrier Family Dental
• Greens Pathology, P.C.

• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.