Brittany Nichole Gray, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5015678 Issued in NC

Practice address

86 Three Hunts Dr
Pembroke, NC 28372-8998

Phone

(910) 522-0408

NPI assigned

Jan 26, 2022

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeastern Integrated Care

  dba Lumber River Family Practice

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1326036138
  Medicare reassignment NPD
• Brightside Medical of New Jersey, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1811524754

  NC

  Medicare reassignment
• Southeastern Life Center Inc

  • Non-emergency Medical Transport (VAN)
  • Lumberton, NC
  • NPI 1801580485
  NPD
• JKM Community Services, PLLC

  • Community/Behavioral Health Agency
  • Lillington, NC
  • NPI 1720451784
  NPD (past)
• United Sleep Medicine Associates PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Charlotte, NC
  • NPI 1033172960
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1922750322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LAKEVIEW DR",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284725510",
            "telephone_number": "910-640-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THREE HUNTS DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728998",
            "telephone_number": "910-522-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Jefferson St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723708",
            "country_code": "US",
            "telephone_number": "910-207-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Memory Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284722640",
            "country_code": "US",
            "telephone_number": "910-522-0408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BRITTANY",
        "middle_name": "NICHOLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015678",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triva Posey Fridley, NP
• Geena Gary
• Gate Way
• Nancy Gomez, OTA
• Graceway Counseling LLC
• George Demaris Gressman III, PSY.D.
• Stacey Tywanna Hailey
• Debbie Hammonds Chavis, PHYSICAL THERAPIST
• Mallory Shania Haney
• Gail Denise Hanna, LCASA

• Psychiatric/Mental Health Nurse Practitioner in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.