Roy Gray, CPSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1211215 Issued in KY

Practice address

1652 Nevada Ave
London, KY 40741-2920

Phone

(606) 627-0266

NPI assigned

Oct 3, 2023

Last updated

Oct 3, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1881474369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 NEVADA AVE",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 NEVADA AVE",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412920",
            "telephone_number": "606-627-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "CPSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "KY",
            "license": "1211215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Grant, PHARMD
• Grateful Dental PLLC
• Carl Brent Gray, NP
• Joshua Morris Gray, DMD
• Lori Gray, APRN
• Sydney Katherine Gray
• Tara Cornella Gray, APRN
• Makayla Jean Green, APRN, FNP-C
• Rebecca J Green, APRN
• Carlie Deeann Greer, APRN

• Peer Specialist in London, KY
• Providers in London, KY by specialty
• Peer Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.