Carly J Gray (NPI# 1174929095, PAC ID# 4385967900) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174929095 |
| PAC ID by PECOS | 4385967900 |
| Professional Enrollment ID | I20170221001558 |
| Full Name | Carly J Gray |
| Organization Legal Name | CHESAPEAKE REGIONAL MEDICAL GROUP |
| Address |
534 Caratoke Hwy Moyock NC 27958-8740 |
| Phone Number | 2524356621 |
| Gender | F |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426113663 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490120 | CHESAPEAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 534 Caratoke Hwy, Moyock, NC 27958-8740 | 2524356621 | CHESAPEAKE REGIONAL MEDICAL GROUP |
| Organization Legal Name | CHESAPEAKE REGIONAL MEDICAL GROUP |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen H Lin | General Surgery | Chesapeake Regional Medical Group | 113 Gainsborough Sq, Chesapeake, VA 23320-1714 |
| Renee Olexy | Nurse Practitioner | Chesapeake Regional Medical Group | 800 Battlefield Blvd N, Chesapeake, VA 23320-4802 |
| John Baker | Neurology | Chesapeake Regional Medical Group | 300 Medical Pkwy, Chesapeake, VA 23320-4985 |
| Antonio J Ruiz | General Surgery | Chesapeake Regional Medical Group | 1138 N Rd St, Elizabeth City, NC 27909-3353 |
| Samantha L Furia | Emergency Medicine | Chesapeake Regional Medical Group | 100 Plank Bridge Rd B, Camden, NC 27921-7640 |
| Thomas J Green | Internal Medicine | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Allison R Williams | Physician Assistant | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Stacy Cartwright Pritchard | Certified Registered Nurse Anesthetist (crna) | Chesapeake Regional Medical Group | 1138 N Rd St, Elizabeth City, NC 27909-3353 |
| Lynne A Skaryak | Thoracic Surgery | Chesapeake Regional Medical Group | 113 Gainsborough Sq, Chesapeake, VA 23320-1714 |
| Susan K Ziglar | Family Medicine | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Street Address |
534 CARATOKE HWY |
| City | MOYOCK |
| State | NC |
| Zip | 27958-8740 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas J Green | Internal Medicine | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Allison R Williams | Physician Assistant | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Susan K Ziglar | Family Medicine | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Nitish Jasmine Manning | Family Medicine | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| Vonda M Raines | Nurse Practitioner | Chesapeake Regional Medical Group | 534 Caratoke Hwy, Moyock, NC 27958-8740 |
| City | MOYOCK |
| Zip Code | 27958 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOYOCK + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carly J Gray.
| 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.