| Matthew Jeremy Gray, | |
| 401 Ferndale Blvd, High Point, NC 27262-4739 | |
| (336) 882-2567 | |
| (336) 882-5466 | 
| Full Name | Matthew Jeremy Gray | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 401 Ferndale Blvd, High Point, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447505052 | NPI | - | NPPES | 
| 8054265 | Medicaid | NC | 
| Entity Name | Novant Health Thomasville Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033160205 PECOS PAC ID: 5890605224 Enrollment ID: O20031222000916 | 
| Entity Name | Carolina Anesthesia Associates Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 | 
| Entity Name | Medical Park Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1003867516 PECOS PAC ID: 4880595958 Enrollment ID: O20040120000968 | 
| Entity Name | The Presbyterian Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 | 
| Entity Name | Forsyth Memorial Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 | 
| Entity Name | Novant Health Rowan Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508931544 PECOS PAC ID: 3375452519 Enrollment ID: O20040422001655 | 
| Entity Name | Novant Health Matthews Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184782419 PECOS PAC ID: 6406845247 Enrollment ID: O20051114000445 | 
| Entity Name | Presbyterian Sameday Surgery Center At Ballantyne Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1215061049 PECOS PAC ID: 4587759949 Enrollment ID: O20070928000739 | 
| Entity Name | Presbyterian Sameday Surgery Center At Huntersville Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1063641801 PECOS PAC ID: 8426197971 Enrollment ID: O20100521000450 | 
| Entity Name | Carolina Regional Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 | 
| Entity Name | Brunswick Community Hospital Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1669725198 PECOS PAC ID: 9335150895 Enrollment ID: O20130903000403 | 
| Entity Name | Novant Health Kernersville Outpatient Surgery Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1750892659 PECOS PAC ID: 3870858525 Enrollment ID: O20180530000007 | 
| Entity Name | Novant Health Mint Hill Medical Center, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063910404 PECOS PAC ID: 8123374394 Enrollment ID: O20181018000540 | 
| Entity Name | Novant Health Clemmons Outpatient Surgery Llc | 
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center | 
| Entity Identifiers | NPI Number: 1528521887 PECOS PAC ID: 6103154778 Enrollment ID: O20190820003091 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Matthew Jeremy Gray, Po Box 2168, High Point, NC 27261-2168 Ph: (336) 882-2567 | Matthew Jeremy Gray, 401 Ferndale Blvd, High Point, NC 27262-4739 Ph: (336) 882-2567 | 
| Joanna Nordlander Huckabee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
| Linda G Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 333-688-2546 | |
| David Adedayo Akinsoji Adeloye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
| Teresa L Dent-bonnette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
| Laurie A Ferguson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
| Mrs. Maryann Daly Green, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, Carolina Anesthesiology Pa, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 | |
| Jo B Hufford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 401 Ferndale Blvd, High Point, NC 27262 Phone: 336-882-2567 Fax: 336-882-5466 |