Individual provider Active NPI

Lauren Savannah Gray, NP

  • Family Nurse Practitioner
  • Camden, AL
National Provider Identifier
1740798164
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902470 Issued in MS
Practice address
24B Camden Byp
Camden, AL 36726-1770
Phone
(334) 882-1919
NPI assigned
Jan 19, 2018
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902470 MS Primary

Addresses

Primary practice location

24B Camden Byp
Camden, AL 36726-1770

Mailing address

24B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Other practice location 1

1400 20th Ave Ste D
Meridian, MS 39301-4103
Phone (601) 703-8450

Other practice location 2

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 3

1221 N Washington St
Livingston, AL 35470-5410
Phone (205) 652-9575

Other identifiers 2

IdentifierTypeStateIssuer
675747OtherMSMEDICARE
02105835MedicaidMS

Other names 1

  • Lauren Savannah McCray Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na Rush Care, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180326000304 MS Practitioner - Nurse Practitioner 2264794593 Reassigns benefits to 3 organizations
I20201105002361 AL Practitioner - Nurse Practitioner 2264794593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Care of ClarkeGroup PAC ID 2961809736, 9 clinicians

Practice addresses (Care Compare)

24 B Camden Byp
Camden, AL 36726-1770
Phone (334) 882-1919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902470MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Meridian, Inc. CurrentSince Mar 1, 2019 Accepting new patients
Anderson Regional Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Physicians Care of Clarke CurrentSince Dec 2, 2022 Accepting new patients
Physicians Care of Clarke CurrentSince Dec 2, 2022 Accepting new patients
Anderson Regional Medical Center Current Accepting new patients
Physicians Care of Clarke Past Accepting new patients
Anderson Regional Medical Center Past Accepting new patients

Locations

24 Camden Byp
#B
Camden, AL 36726
Phone (334) 882-1919

1600 22nd Ave
#3
Meridian, MS 39301
Phone (601) 693-1055

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1056 Holland Ave
Philadelphia, MS 39350
Phone (601) 656-1465

Interoperability endpoints

  • Direct secure messaging: laurengray@huey.kidd.directbygreenway.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1740798164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-882-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24B CAMDEN BYP",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261770",
            "telephone_number": "334-882-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 20th Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014103",
            "country_code": "US",
            "telephone_number": "601-703-8450",
            "fax_number": "601-703-8459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "AL",
            "postal_code": "354705410",
            "country_code": "US",
            "telephone_number": "205-652-9575",
            "fax_number": "205-652-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "LAUREN",
        "middle_name": "SAVANNAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "675747",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105835",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "Y",
            "affiliationName": "Rush Care, Inc.",
            "address_1": "1221 N Washington Street",
            "city": "Livingston",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MCCRAY",
            "middle_name": "SAVANNAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, AL

Sources for this page

Verify at the official NPI Registry.