Grayer Professional Nursing Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

GRAYER PROFESSIONAL NURSING SERVICES

Practice address

4211 NW Highway 550
Union Church, MS 39668-7012

Phone

(601) 754-5513

NPI assigned

Sep 24, 2025

Last updated

Sep 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenilla Vaughn, NP-CNPI 1669937611

Title

Family Nurse Practitioner

Phone

(601) 754-5513

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenilla Vaughn, FNP

  • Nurse Practitioner
  • Brookhaven, MS
  • NPI 1669937611

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1386517613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 INDUSTRIAL PARK RD NE",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012065",
            "telephone_number": "601-754-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 NW HIGHWAY 550",
            "city": "UNION CHURCH",
            "state": "MS",
            "postal_code": "396687012",
            "telephone_number": "601-754-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 Industrial Park Rd NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "MS",
            "postal_code": "396012065",
            "country_code": "US",
            "telephone_number": "601-754-5513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAYER PROFESSIONAL NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "BRENILLA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-754-5513",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romeo Arness Barnes Jr.

• Nurse Practitioner in Union Church, MS
• Providers in Union Church, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.