Ashley Burgin Gray, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN268670 Issued in GA

Practice address

45 Wyngate Dr
Newnan, GA 30265-1296

Phone

(678) 850-8537

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ashley Michelle Burgin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Women'S Community Care, PC

  • Gynecology Physician
  • Fayetteville, GA
  • NPI 1417167446
  NPD (past)

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1699359778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WYNGATE DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651296",
            "telephone_number": "678-850-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WYNGATE DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651296",
            "telephone_number": "678-850-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ASHLEY",
        "middle_name": "BURGIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN268670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BURGIN",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Grant
• Arriana Estrella Graves
• Rachel Diann Gray Nelson
• Deena Gray-Johnson
• Summer Gray-Robinson
• Kevin Gray, RBT
• Greater Atlanta Speech and Swallow Services
• Kathryn Green, RDH
• Ross Evan Greenberg, M.D.
• Heather Carol Greene, MED, BCBA, LBA

• Family Nurse Practitioner in Newnan, GA
• Providers in Newnan, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.