MRS. JENNIFER H GRAY (NP) – Family Nurse Practitioner, NPI 1083962849
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for MRS. JENNIFER H GRAY (NP)
204 Durden St
Vidalia, GA 304744608
Phone: (912) 537-9316
Type: Location
11 N COLLEGE ST
STATESBORO, GA 30458
Phone: (912) 764-9868
Fax: (912) 764-5066
Type: Mailing
263 N Brunswick St
Jesup, GA 315464373
Phone: (912) 427-9338
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 170 Open Payments records for all available years, with a total value of $3,112.
Total Amount is formed as General ($3,112) + Research ($0) + Ownership ($0) = $3,112.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,036).
Total Amount
$3,112
General + Research + Ownership
Payments
170
Total payment records
General Amount
$3,112
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $1,036 |
| Alkermes, Inc. | $369 |
| Neurocrine BioSciences Inc. | $350 |
| Axsome Therapeutics, Inc. | $317 |
| Neurocrine BioSciences, Inc. | $253 |
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: 2012-12-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121211000115 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 26 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 14 | $0 |
Insurance plans in this area (ZIP 30474)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Nurse Practitioner | GA | |
| Pediatric Medicine | GA | |
| Family Practice, Addiction Medicine | GA | |
| Nurse Practitioner | GA | |
| - | MN | |
| - | GA | |
| Emergency Medicine, Internal Medicine | GA |
Reviews
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