Active NPI
Andrew C Gray, PA-C
- Physician Assistant
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110003602
- Practice address
- 5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563 - Phone
- (757) 466-0089
- Fax
- (757) 466-8017
- NPI assigned
- Jun 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110003602 | VA | Primary |
Addresses
Primary practice location
5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563
Mailing address
5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563
Phone (757) 466-0089
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10078324P | Other | VA | OPTIMA |
| 428508 | Other | VA | BCBS OF VA |
| P00953005 | Other | VA | RAILROAD MEDICARE |
| 1942594536 | Medicaid | VA | |
| 10078324P | Other | VA | SENTARA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3000 Coliseum Dr
Hampton, VA 23666-5963
Phone (757) 736-1000
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
600 Gresham Dr
Norfolk, VA 23507-1904
830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 466-6870
Hospital & facility affiliations
- Sentara Leigh Hospital
- Sentara Norfolk General Hospital
- Bon Secours Maryview Medical Center
- Bon Secours Harbour View Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110003602 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients |
Locations
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
3636 High St
Fl 6
Portsmouth, VA 23707
1040 University Blvd
Ste 205
Portsmouth, VA 23703
Phone (757) 484-2272
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050
Interoperability endpoints
- agray1151573@direct.bsmhealth.org
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.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Suffolk, VA
- NPI 1104658434
-
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
- General Acute Care Hospital
- Norfolk, VA
- NPI 1437119310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1942594536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5544 GREENWICH RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626563",
"telephone_number": "757-466-0089",
"fax_number": "757-466-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5544 GREENWICH RD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234626563",
"telephone_number": "757-466-0089",
"fax_number": "757-466-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANDREW",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-01",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110003602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "10078324P",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VA",
"identifier": "428508",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00953005",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942594536",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "10078324P",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.