Ashley Gray
ANDERSON REGIONAL MEDICAL CENTER


Address: 83 A Old Mill Creek Rd, Enterprise, MS 39330-9649
Phone: 6017041020

Ashley Gray (NPI# 1154629178, PAC ID# 2062683949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1154629178
PAC ID by PECOS 2062683949
Professional Enrollment ID I20110926000712
Full Name Ashley Gray
Organization Legal Name ANDERSON REGIONAL MEDICAL CENTER
Address 83 A Old Mill Creek Rd
Enterprise
MS 39330-9649
Phone Number 6017041020
Gender F
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4284548025
Number of Group Practice Members 30
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250104 ANDERSON REGIONAL MEDICAL CTR
250069 RUSH FOUNDATION HOSPITAL

Other Locations

Address Phone Organization
83 A Old Mill Creek Rd, Enterprise, MS 39330-9649 6017041020 ANDERSON REGIONAL MEDICAL CENTER

Organization Information

Organization Legal Name ANDERSON REGIONAL MEDICAL CENTER
Physicians 10

Physicians with the same organization

Name Specialty Organization Address
Karen Deese Nurse Practitioner Anderson Regional Medical Center 1523 22nd Ave, Suite B, Meridian, MS 39301-4016
Michael B Shrock Family Medicine Anderson Regional Medical Center 1056 Holland Ave, Philadelphia, MS 39350-9121
Jerry L Stork Physician Assistant Anderson Regional Medical Center 1102 Constitution Ave, Meridian, MS 39301-4001
Russell Scott Anderson Radiation Oncology Anderson Regional Medical Center 1704 23rd Ave, Meridian, MS 39301-3103
William G Thaggard Gastroenterology Anderson Regional Medical Center 2124 14th St, Meridian, MS 39301-4040
Caleb Robert Dulaney Radiation Oncology Anderson Regional Medical Center 1704 23rd Ave, Meridian, MS 39301-3103
Hannah Johnson Nurse Practitioner Anderson Regional Medical Center 1056 Holland Ave, Philadelphia, MS 39350-9121
Samantha Mosby Family Medicine Anderson Regional Medical Center 1056 Holland Ave, Philadelphia, MS 39350-9121
Amber D Thomas Nurse Practitioner Anderson Regional Medical Center 1400 20th Ave, Suite D, Meridian, MS 39301-4103

Office Location

Street Address 83 A OLD MILL CREEK RD
City ENTERPRISE
State MS
Zip 39330-9649

Competitor

Search similar physicians

City ENTERPRISE
Zip Code 39330
Specialty NURSE PRACTITIONER
City + Specialty ENTERPRISE + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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