MS. ELEASHA R GRAY (C-FNP) – Family Nurse Practitioner, NPI 1023264876

MS. ELEASHA R GRAY (C-FNP) is a healthcare provider. based in Stockbridge, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials C-FNP. They hold a License No. RN121625 (GA). The NPI Number for MS. ELEASHA R GRAY (C-FNP) is 1023264876

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELEASHA R GRAY (C-FNP)
NPI
1023264876
Phone
(770) 506-1800
Address
165 NORTH PARK TRAIL
Enumeration Date
12 August 2008
Last Update Date
6 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709299033
Graduation Year
2007 (19 years ago)
PAC ID
2769558048
Group Practice PAC ID
2769483031
Professional Enrollment ID
I20080910000544
Address ID
GA300123872CO1388XAXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

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Provider Addresses for MS. ELEASHA R GRAY (C-FNP)

  • 165, North Park Trail, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302815086

    Phone: (770) 506-1800

    Fax: (770) 389-5947

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $2,932.

Total Amount is formed as General ($2,932) + Research ($0) + Ownership ($0) = $2,932.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boston Scientific Corporation ($770).

Total Amount

$2,932

General + Research + Ownership

Payments

70

Total payment records

General Amount

$2,932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-09-10

PECOS data refreshed: 2026-06-15

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
I20080910000544INurse 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 30281)

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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: 2769483031View full group profile
NameSpecialtyState
-GA
Anesthesiology, Interventional Pain ManagementGA
Nurse PractitionerGA
Pain ManagementMI
Anesthesiology, Pain ManagementGA
Physician AssistantGA
Nurse PractitionerGA
Pain Management, AnesthesiologyGA
Nurse PractitionerGA
Interventional Pain Management, AnesthesiologyGA

Reviews

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Frequently asked questions

How do I look up MS. ELEASHA R GRAY (C-FNP) by NPI?
Use NPI 1023264876 when you need to reference MS. ELEASHA R GRAY (C-FNP) in forms, claims, or directories.
Is MS. ELEASHA R GRAY (C-FNP) active in the national directory?
MS. ELEASHA R GRAY (C-FNP)'s public NPI profile is in an active state.
Does MS. ELEASHA R GRAY (C-FNP) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MS. ELEASHA R GRAY (C-FNP). Clinical services aligned with this taxonomy classification.
Does MS. ELEASHA R GRAY (C-FNP) practice in Georgia?
You will see Stockbridge, Georgia on file for MS. ELEASHA R GRAY (C-FNP) alongside any extra practice locations.
How can I contact MS. ELEASHA R GRAY (C-FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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