Individual provider Active NPI

Trudy L Gray

  • Surgical Assistant
  • Stockbridge, GA
National Provider Identifier
1356210306
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
1501 Jodeco Rd
Stockbridge, GA 30281-5103
Phone
(678) 437-8509
NPI assigned
Oct 30, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X GA Primary

Addresses

Primary practice location

1501 Jodeco Rd
Stockbridge, GA 30281-5103

Mailing address

1501 Jodeco Rd
Stockbridge, GA 30281-5103
Phone (678) 437-8509

Other practice location 1

135 N Park Pl Ste 101
Stockbridge, GA 30281-7237
Phone (770) 892-0300

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tie on a Passer Surgical First Assisting LLC Surgical Assistant CurrentSince Nov 8, 2025 Accepting new patients

Locations

135 N Park Pl
Ste 101
Stockbridge, GA 30281
Phone (770) 892-0273

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1356210306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815103",
            "telephone_number": "678-437-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815103",
            "telephone_number": "678-437-8509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Park Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817237",
            "country_code": "US",
            "telephone_number": "770-892-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TRUDY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.