Jefferson Ray IV, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8249 Issued in NC

Practice address

261 Poplar Branch Rd
Poplar Branch, NC 27965-9745

Phone

(252) 453-2700

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gaston Family Health Services, Inc.

  dba Kintegra at Griggs Elementary

  • Federally Qualified Health Center (FQHC)
  • Poplar Branch, NC
  • NPI 1326975988
  NPD (past)

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1649126723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 WATERLILY RD",
            "city": "COINJOCK",
            "state": "NC",
            "postal_code": "279239740",
            "telephone_number": "252-619-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 POPLAR BRANCH RD",
            "city": "POPLAR BRANCH",
            "state": "NC",
            "postal_code": "279659745",
            "telephone_number": "252-453-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JEFFERSON",
        "name_suffix": "IV",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Dee Alicie, CFNP
• Gaston Family Health Services, Inc. (Kintegra at Griggs Elementary)
• Leslie Michelle Robbins, MD

• Speech-Language Pathologist in Poplar Branch, NC
• Providers in Poplar Branch, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.