Individual provider Active NPI

Martine C Thomas-Gray, FNP

  • Family Nurse Practitioner
  • Garner, NC
National Provider Identifier
1861205775
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351041 Issued in NY
Practice address
161 Polaris Ave
Garner, NC 27529-7063
Phone
(646) 296-1329
NPI assigned
Jan 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 351041 NY Primary

Addresses

Primary practice location

161 Polaris Ave
Garner, NC 27529-7063

Mailing address

161 Polaris Ave
Garner, NC 27529-7063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250715003896 NC Practitioner - Nurse Practitioner 6406361781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matrix Occupational Health PCGroup PAC ID 2365350220, 42 clinicians
American Family Care Fuquay PLLCGroup PAC ID 6103258306, 33 clinicians

Practice addresses (Care Compare)

1110 Kildaire Farm Rd
Cary, NC 27511-4523
Phone (919) 481-0277

1298 N Main St
Fuquay Varina, NC 27526-2615
Phone (919) 590-4099

217 Glensford Dr
Fayetteville, NC 28314-0892
Phone (910) 483-4647

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
351041NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Jun 30, 2025 Accepting new patients
American Family Care Fuquay PLLC CurrentSince Sep 16, 2025 Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

1298 N Main St
Fuquay Varina, NC 27526
Phone (919) 590-4099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1861205775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 POLARIS AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 POLARIS AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297063",
            "telephone_number": "646-296-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-GRAY",
        "first_name": "MARTINE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.