Akemie Edna Williams Gray, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036131750 Issued in IL

Practice address

100 N 8TH St Ste 232
East Saint Louis, IL 62201-2989

Phone

(618) 337-2597

Fax

(618) 337-2930

NPI assigned

Jul 18, 2007

Last updated

Mar 22, 2018By 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

Other identifiers 1

Other names 1

• Dr. Akemie Edna Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: akemie.gray.1@9559.direct.athenahealth.com

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.

• Southern Illinois Healthcare Foundation Inc

  dba Centreville Health Center

  • Federally Qualified Health Center (FQHC)
  • Centreville, IL
  • NPI 1609813500

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1972703056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 8TH ST STE 232",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012989",
            "telephone_number": "618-337-2597",
            "fax_number": "618-337-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 8TH ST STE 232",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012989",
            "telephone_number": "618-337-2597",
            "fax_number": "618-337-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS GRAY",
        "first_name": "AKEMIE",
        "middle_name": "EDNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60107061",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036131750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8552374",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AKEMIE",
            "last_name": "WILLIAMS",
            "middle_name": "EDNA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Walgreen Co (Walgreens #04602)
• Ranita A Walker, CPT
• Kim Wenona White, CNS-BC
• Lisa M White
• Janet C Whitworth, RN, FNP-BC, DNP
• Kevin Scott Worster, RPH
• Millie Wright, MSW
• Tyler D Zipfel

• Pediatrics Physician in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.