Traci Gray, AGNP-C

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

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winn Community Health Center, Inc.Group PAC ID 2567516545, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lasalle General Hospital Hospital, Jena, LA, CCN 190145
• Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 35)

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.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119

  LA

  Medicare reassignment Care Compare group NPD
• Traci Gray, Nurse Practitioner Inc

  • Primary Care Nurse Practitioner
  • Jena, LA
  • NPI 1447116736

  Primary Care

  NPD Authorized official
• Taylor Williams, Aprn, FNP-C, Inc

  • Family Nurse Practitioner
  • Jena, LA
  • NPI 1023974557
  NPD
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Colfax, LA
  • NPI 1740601418
  NPD
• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pineville, LA
  • NPI 1982268769
  NPD (past)

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

• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pollock, LA
  • NPI 1013037431

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1023139458

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Pineville, LA
  • NPI 1093836421

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Provencal, LA
  • NPI 1164687307

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Mansura, LA
  • NPI 1225157050

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Deville, LA
  • NPI 1285755611

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Natchitoches, LA
  • NPI 1356462782

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Glenmora, LA
  • NPI 1376664706

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1467573899

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Jena, LA
  • NPI 1558482984

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • Student Health Clinic/Center
  • Marthaville, LA
  • NPI 1609031962

  Hospital

  Care Compare affiliation
• Christus Health Central Louisiana

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1639160799

  Hospital

  Care Compare affiliation

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2512161",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Scott Foster, PT
• Cecil Clyde Gaddis, DDS
• Golden Age Nursing Center, LLC
• Denice Gordy, PHARMACIST
• Lauren Paige Grant, SLP
• Elizabeth Elois Greene, LCSW
• Pamela Ruth Hamilton
• Kristal Hardie, OTR/L
• Mercedes Harris
• Honeycutt Pharmacy Inc

• Adult Health Nurse Practitioner in Jena, LA
• Providers in Jena, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.