NPIMap

Individual provider Active NPI

Elizabeth Walters Gray, DNP, AGNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1366925158
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010956 Issued in NC
Practice address
6060 Piedmont Row Dr S FL 10
Charlotte, NC 28287-3893
Phone
(704) 495-6334
NPI assigned
Sep 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 5010956 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5010956 NC

Addresses

Primary practice location

6060 Piedmont Row Dr S FL 10
Charlotte, NC 28287-3893

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other identifiers 1

IdentifierTypeStateIssuer
1366925158MedicaidNC

Other names 1

  • Elizabeth Christine Walters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211001396 NC Practitioner - Nurse Practitioner 9739423229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

6060 Piedmont Row Dr S
Charlotte, NC 28287-2800
Phone (704) 495-6334

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28287
Phone (704) 489-3094

6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28210

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

5950 Fairview Rd
Ste 330
Charlotte, NC 28210

Interoperability endpoints

  • Direct secure messaging: elizabeth.walters.1@17847.direct.athenahealth.com

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1366925158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 10",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873893",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ELIZABETH",
        "middle_name": "WALTERS",
        "name_prefix": "Mrs.",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010956",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5010956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366925158",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "WALTERS",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.