Individual provider Active NPI

Traci Gray, AGNP-C

  • Adult Health Nurse Practitioner
  • Jena, LA
National Provider Identifier
1831759547
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
206362 Issued in LA
Practice address
307 Carpenter St
Jena, LA 71342-7143
Phone
(318) 481-5724
Fax
(318) 257-1468
NPI assigned
Jun 14, 2019
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 206362 LA Primary
Primary Care Nurse Practitioner 363LP2300X 206362 LA

Addresses

Primary practice location

307 Carpenter St
Jena, LA 71342-7143

Mailing address

307 Carpenter St
Jena, LA 71342-7143
Phone (318) 481-5724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190712002068 LA Practitioner - Nurse Practitioner 2264767250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

431 W Lafayette St
Winnfield, LA 71483-3463
Phone (318) 648-0375

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206362LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Williams, Aprn, FNP-C, Inc CurrentSince Jan 4, 2026 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Traci Gray, Nurse Practitioner Inc Primary Care CurrentSince Jan 4, 2026 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations (25 of 35)

122 Maryland Ave
Alexandria, LA 71301
Phone (318) 627-5021

1319 Bush Ave
Alexandria, LA 71301

2101 Vance Ave
Alexandria, LA 71301
Phone (318) 693-1303

2200 N Bolton Ave
Alexandria, LA 71303
Phone (318) 693-1311

2727 Jones Ave
Alexandria, LA 71302
Phone (318) 209-4510

2905 Horseshoe Dr
Alexandria, LA 71301
Phone (318) 545-7847

310 Richmond Dr
Alexandria, LA 71302

3100 Jones Ave
Alexandria, LA 71302

3111 Jones Ave
Alexandria, LA 71302

3348 Highway 457
Alexandria, LA 71302

4102 Wakefield Blvd
Alexandria, LA 71303

4203 Lisa St
Alexandria, LA 71302
Phone (318) 545-7845

4500 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7843

4645 Lincoln Rd
Alexandria, LA 71302
Phone (318) 545-7844

4800 Dawn St
Alexandria, LA 71301

505 Texas Ave
Alexandria, LA 71301
Phone (318) 704-6283

5700 Prescott Rd
Alexandria, LA 71301
Phone (318) 545-7846

601 Cloverleaf Blvd
Alexandria, LA 71303
Phone (318) 442-0878

800 Ola St
Alexandria, LA 71303

4310 Pardue Rd
Ball, LA 71405
Phone (318) 545-6414

89 Camp Livingston Rd
Ball, LA 71405
Phone 3186480375228

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

642 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

646 Highway 1207
Deville, LA 71328
Phone (318) 545-6416

7362 Highway 112
Elmer, LA 71424

Organizations & group practices 6

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1831759547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713427143",
            "telephone_number": "318-481-5724",
            "fax_number": "318-257-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713427143",
            "telephone_number": "318-481-5724",
            "fax_number": "318-257-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TRACI",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "206362",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "206362",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jena, LA

Sources for this page

Verify at the official NPI Registry.