ANDREW MICHAEL BRAY (PA) – Physician Assistant, NPI 1245584978

ANDREW MICHAEL BRAY (PA) is a healthcare provider. based in St augustine, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9106728 (FL). The NPI Number for ANDREW MICHAEL BRAY (PA) is 1245584978

Main info

Male
14 Years Of Experience
Name
ANDREW MICHAEL BRAY (PA)
NPI
1245584978
Phone
(904) 824-9338
Address
2095 US Highway 1 S
Enumeration Date
2 November 2012
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8337977246
Graduation Year
2012 (14 years ago)
PAC ID
7012147747
Group Practice PAC ID
7810420643
Professional Enrollment ID
I20231208002055
Address ID
GA300663361MA2743XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ANDREW MICHAEL BRAY (PA)

  • 2095 US Highway 1 S

    St Augustine, FL 320866000

    Phone: (904) 824-9338

    Type: Location

  • PO BOX 13833

    PHILADELPHIA, PA 191013833

    Phone: (352) 542-0068

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 542-0068

    Type: Location

  • 6660 ROSWELL RD

    SANDY SPRINGS, GA 303283167

    Phone: (404) 996-0195

    Fax: (404) 531-0967

    Type: Location

  • 220 26TH ST NW APT 5402

    ATLANTA, GA 303091926

    Phone: (904) 327-7543

    Type: Mailing

  • 2095 US HIGHWAY 1 S

    ST AUGUSTINE, FL 320866000

    Phone: (904) 824-9338

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231208002055IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes158148$0
99203New patient office or other outpatient visit, 30-44 minutes126126$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10012$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)5150$0
81003Automated urinalysis test2929$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810420643View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

What identifier follows ANDREW MICHAEL BRAY (PA) across health systems?
The NPI 1245584978 uniquely identifies ANDREW MICHAEL BRAY (PA) in U.S. healthcare data.
Is ANDREW MICHAEL BRAY (PA) currently accepting referrals based on NPI status?
Registry metadata lists ANDREW MICHAEL BRAY (PA) as active.
What type of care does ANDREW MICHAEL BRAY (PA) provide?
ANDREW MICHAEL BRAY (PA)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ANDREW MICHAEL BRAY (PA) tied to St Augustine, Florida?
If you are local to St Augustine, Florida, ANDREW MICHAEL BRAY (PA) may be relevant to your search.
Why is information missing for ANDREW MICHAEL BRAY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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