ANNA C GRAY – Family Nurse Practitioner, NPI 1083198584

ANNA C GRAY is a healthcare provider. based in Cairo, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN251333 (GA). The NPI Number for ANNA C GRAY is 1083198584

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANNA C GRAY
NPI
1083198584
Phone
(229) 377-1100
Address
1090 5TH ST SE
Enumeration Date
20 September 2018
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292942437
Graduation Year
2018 (8 years ago)
PAC ID
1850636341
Group Practice PAC ID
6002724598
Professional Enrollment ID
I20190103001202
Address ID
GA317791138PE250XXNEXX400

Contacts

Secure Messaging
anna.chambless.p17@direct.archbold.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for ANNA C GRAY

  • 1090, 5th Street Southeast, Cairo, Grady County, Georgia, 39828, United States

    CAIRO, GA 398283139

    Phone: (229) 377-1100

    Fax: (229) 584-5948

    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 17 Open Payments records for all available years, with a total value of $524.

Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($184).

Total Amount

$524

General + Research + Ownership

Payments

17

Total payment records

General Amount

$524

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2019-01-03

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
I20190103001202INurse 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 39828)

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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: 6002724598View full group profile
NameSpecialtyState
-GA
Diagnostic RadiologyMN
Nurse PractitionerGA
Diagnostic RadiologyMN
Diagnostic RadiologyFL
Nuclear Medicine, Diagnostic RadiologyGA
Diagnostic RadiologyFL
Diagnostic RadiologyGA
-GA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How do payers reference ANNA C GRAY?
For ANNA C GRAY, use NPI 1083198584 as the unique 10-digit identifier.
Is ANNA C GRAY shown as active in public data?
Registry records indicate ANNA C GRAY maintains an active NPI.
What clinical focus is listed for ANNA C GRAY?
At a glance, ANNA C GRAY is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ANNA C GRAY located near Cairo?
ANNA C GRAY currently maps to Cairo, Georgia in this extract.
Can I trust this NPI listing for ANNA C GRAY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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