MELISSA MARIE GRAY (NPI# 1457839219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457839219 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE GRAY |
| Credential | PMHNP |
| Practice Address |
2160 Fountain Dr Snellville GA 30078-7022 |
| Mailing Address |
2037 Ema Dell Pl Loganville GA 30052-5375 |
| Practice Telephone | 7709790200 |
| Mailing Telephone | 7577355682 |
| Mailing Fax Number | 8886276444 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN257772 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1637 Athens Hwy, Grayson, GA 300171768 | 6783448268 | 8886276444 |
| 2037 Ema Dell Pl, Loganville, GA 300525375 | 7577355682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104263524 | Melissa C Gray | Licensed Practical Nurse | 4839 Redman Rd, Brockport, NY 14420-9612 | 2013-05-24 |
| 1285986158 | Melissa June Gray | Physical Therapy Assistant | 14528 Harli Ln, Oklahoma City, OK 73170-7293 | 2012-10-02 |
| 1881915783 | Melissa Gray | Counselor | 325 S University Rd Ste 202, Spokane Valley, WA 99206-5227 | 2010-06-15 |
| 1730332271 | Melissa Hillary Gray | Social Worker | 1078 E 73rd St Unit 81, Brooklyn, NY 11234-5337 | 2008-10-28 |
| 1437109774 | Melissa H Gray | Physical Therapist | 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577-1663 | 2006-05-10 |
| 1225641079 | Melissa Gray | Community Health Worker | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2020-08-30 |
| 1912562208 | Melissa Gray | Massage Therapist | 2730 Observatory Ave, Cincinnati, OH 45208-2108 | 2019-05-02 |
| 1811406291 | Melissa Eva Gray | Case Manager/Care Coordinator | 3830 Lamson St, Saginaw, MI 48601-4169 | 2017-09-28 |
| 1215298849 | Melissa C Gray | Family Medicine | 902 W Washington St, Athens, AL 35611-2438 | 2012-05-30 |
| 1407154404 | Melissa Gray | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2011-03-01 |
| Street Address |
2160 FOUNTAIN DR |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-7022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280551 | Jae H Pak | Psychiatry & Neurology | 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | 2005-07-22 |
| 1326687930 | Joshua Morris | General Acute Care Hospital | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2019-12-30 |
| 1114308475 | Kimberly Schiavoni | Nurse Practitioner | 2160 Fountain Dr, Suite D, Snellville, GA 30078-7022 | 2015-06-12 |
| 1578981130 | Eastside Behavioral Health Associates LLC | Psychiatry & Neurology | 2160 Fountain Dr, Suite 100, Snellville, GA 30078-7022 | 2014-04-01 |
| 1417192360 | Joshua Morris | Psychiatry & Neurology | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2008-12-06 |
| 1235388935 | Robin Matney Boggess | Nurse Practitioner | 2160 Fountain Dr, Suite D, Snellville, GA 30078-7022 | 2008-09-17 |
| 1407069685 | Georgia Psychological Services for Seniors Inc | Clinical Neuropsychologist | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2007-05-07 |
| 1396878500 | Franckel Val Md PC | Psychiatry & Neurology | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2007-03-14 |
| 1134290497 | Frankel Val Md PC | Legal Medicine | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-11-10 |
| 1457438541 | Heritage Medical Care LLC | Specialist | 2160 Fountain Dr, Snellville, GA 30078-7022 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1588273494 | Jessica Lashae Coker | Nurse Practitioner | 3500 Golfe Links Dr, Snellville, GA 30039-4731 | 2020-07-27 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
| 1558970608 | Kimberly La'sae Natson | Nurse Practitioner | 722 Cannock Loop, Grovetown, GA 30813-3965 | 2020-07-24 |
| 1225646813 | Ololade Babarinde | Nurse Practitioner | 885 Woodstock Rd Ste 129, Roswell, GA 30075-2276 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.