Ashley Gray (NPI# 1154629178, PAC ID# 2062683949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250104 | ANDERSON REGIONAL MEDICAL CTR |
250069 | RUSH FOUNDATION HOSPITAL |
Address | Phone | Organization |
---|---|---|
83 A Old Mill Creek Rd, Enterprise, MS 39330-9649 | 6017041020 | ANDERSON REGIONAL MEDICAL CENTER |
Organization Legal Name | ANDERSON REGIONAL MEDICAL CENTER |
Physicians | 10 |
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 |
Street Address |
83 A OLD MILL CREEK RD |
City | ENTERPRISE |
State | MS |
Zip | 39330-9649 |
City | ENTERPRISE |
Zip Code | 39330 |
Specialty | NURSE PRACTITIONER |
City + Specialty | ENTERPRISE + NURSE PRACTITIONER |
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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.