AMANDA LEIGH GRAY (NP) – Family Nurse Practitioner, NPI 1437986486

AMANDA LEIGH GRAY (NP) is a healthcare provider. based in Greenville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN9234328 (FL). The NPI Number for AMANDA LEIGH GRAY (NP) is 1437986486

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LEIGH GRAY (NP)
NPI
1437986486
Phone
(850) 464-1182
Address
7166 W US 90
Enumeration Date
16 September 2024
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294331711
Graduation Year
2024 (2 years ago)
PAC ID
4789119892
Group Practice PAC ID
4082036843
Professional Enrollment ID
I20241126004026
Address ID
GA316022512VA2417XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:1State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for AMANDA LEIGH GRAY (NP)

  • 7166 W US 90

    GREENVILLE, FL 323314664

    Phone: (850) 464-1182

    Type: Mailing

  • 907 N COURT ST

    QUITMAN, GA 316431315

    Phone: (229) 263-4531

    Fax: (229) 263-5787

    Type: Location

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: 2024-11-26

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
I20241126004026INurse PractitionerGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32331)

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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: 4082036843View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseNY
Nurse PractitionerGA
Orthopedic SurgeryGA
N E U R O L O G YGA
General Surgery, Vascular SurgeryGA
Pulmonary Disease, Sleep MedicineWI
N E U R O S U R G E R YCA
Family PracticeGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMANDA LEIGH GRAY (NP)?
AMANDA LEIGH GRAY (NP) — NPI 1437986486 — is the standard way to identify this listing.
Does CMS list AMANDA LEIGH GRAY (NP) as active?
Yes — AMANDA LEIGH GRAY (NP) is active in the NPI listing used on this page.
What is AMANDA LEIGH GRAY (NP)'s specialty?
The listing groups AMANDA LEIGH GRAY (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is AMANDA LEIGH GRAY (NP) based?
AMANDA LEIGH GRAY (NP) is tied to Greenville, Florida in the data we show; additional addresses may exist on the full record.
Is the information about AMANDA LEIGH GRAY (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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