| Ashley D Gray, FNP | |
|
83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | |
| (601) 704-1020 | |
| (601) 704-1021 |
| Full Name | Ashley D Gray |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 83a Old Mill Creek Rd, Enterprise, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154629178 | NPI | - | NPPES |
| 09337094 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R876926 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Meridian, MS | Home health agency |
| Deaconess Homecare- Region 1 | Laurel, MS | Home health agency |
| Sta Home Health And Hospice | Carthage, MS | Home health agency |
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| H C Watkins Memorial Hospital Inc | Quitman, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Regional Medical Center | 4284548025 | 19 |
| Entity Name | Anderson Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972720175 PECOS PAC ID: 4284548025 Enrollment ID: O20031117000522 |
| Entity Name | Anderson Physician Alliance Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Entity Name | Medical Services Of Meridian Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley D Gray, FNP 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 Ph: (601) 704-1020 | Ashley D Gray, FNP 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 Ph: (601) 704-1020 |