Active NPI
Gray Family Health LLC
- Family Medicine Physician
- Gray, GA
National Provider Identifier
1376720698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRAY FAMILY HEALTH LLC
- Practice address
- 260 W Clinton St
Gray, GA 31032-5464 - Phone
- (478) 986-4743
- Fax
- (478) 986-3921
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda S Arnold, MD
- Title
- Owner
- Phone
- (478) 986-4743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
260 W Clinton St
Gray, GA 31032-5464
Mailing address
260 W Clinton St
Gray, GA 31032-5464
Phone (478) 986-4743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080417000037 | GA | Part B Supplier - Clinic/Group Practice | 0244318111 |
Receives reassigned benefits from 7 practitioners Practice locations: Gray, GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1376720698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 W CLINTON ST",
"city": "GRAY",
"state": "GA",
"postal_code": "310325464",
"telephone_number": "478-986-4743",
"fax_number": "478-986-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 W CLINTON ST",
"city": "GRAY",
"state": "GA",
"postal_code": "310325464",
"telephone_number": "478-986-4743",
"fax_number": "478-986-3921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAY FAMILY HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-986-4743",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.