Individual provider Active NPI

Stephanie Lauren Gray, MD

  • Surgery Physician
  • Gastonia, NC
National Provider Identifier
1548606791
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2021-01465 Issued in NC
Practice address
2555 Court Dr Ste 450
Gastonia, NC 28054-2191
Phone
(704) 671-7652
Fax
(704) 671-7656
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 2021-01465 NC
Surgery Physician 208600000X 2021-01465 NC Primary

Addresses

Primary practice location

2555 Court Dr Ste 450
Gastonia, NC 28054-2191

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

1212 Spruce St
Belmont, NC 28012-3385
Phone (704) 671-7652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706000412 NC Practitioner - General Surgery 8123317500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, 425 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

2555 Court Dr
Suite 450
Gastonia, NC 28054-2191
Phone (704) 671-7652

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-01465NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center Surgical Critical Care CurrentSince Jul 26, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 26, 2021 Accepting new patients
Caromont Medical Group Inc Surgery CurrentSince Sep 29, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince Jul 26, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince Jul 26, 2021 Accepting new patients
Caromont Medical Group Inc Surgery Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Sep 29, 2023 Accepting new patients
Carolinas Medical Center CurrentSince Jul 26, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 26, 2021 Accepting new patients

Locations

1212 Spruce St
Belmont, NC 28012
Phone (704) 825-5677

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

200 Medical Park Dr
Ste 430
Concord, NC 28025
Phone (704) 403-5890

2555 Court Dr
Ste 450
Gastonia, NC 28054
Phone (704) 671-7652

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1548606791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DR STE 450",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542191",
            "telephone_number": "704-671-7652",
            "fax_number": "704-671-7656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Belmont",
            "state": "NC",
            "postal_code": "280123385",
            "country_code": "US",
            "telephone_number": "704-671-7652",
            "fax_number": "704-671-7656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NC",
            "license": "2021-01465",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2021-01465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.