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Mary Nicole Gray

Physician β€’ Columbia, VA

Active NPI 1467844670 Individual Practitioner Female Practitioner
Practice location in NPPES

4645 Slippery Rock Ln
Columbia, VA 230382325

Call 8044574153 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4645 Slippery Rock Ln

Columbia, VA 230382325

Telephone 8044574153

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Home Health Primary Specialty

NUCC Taxonomy Code: 251E00000X

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active July 26, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location July 26, 2017

Registered at 4645 SLIPPERY ROCK LN, COLUMBIA, VA 230382325 (Tel: 8044574153)

πŸ“
Updated Business Mailing Address July 26, 2017

Registered at 4645 SLIPPERY ROCK LN, COLUMBIA, VA 230382325 (Tel: 4343909913)

πŸ‘€
Provider Name / Credentials Updated July 26, 2017

Recorded as MARY GRAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2017

Home Health

βœ…
NPI Profile Active February 03, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 03, 2016

Registered at 4645 SLIPPERY ROCK LN, COLUMBIA, VA 230382325 (Tel: 8044574153)

πŸ“
Business Mailing Address (Initial Record) February 03, 2016

Registered at 4645 SLIPPERY ROCK LN, COLUMBIA, VA 230382325 (Tel: 8044574153)

πŸ‘€
Provider Name / Credentials (Initial Record) February 03, 2016

Recorded as MARY JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2016

Home Health

🟒
Initial NPI Registration & Enumeration February 25, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467844670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2015
Last Update: July 26, 2017
Sole Proprietor: Yes

Mailing Address

4645 Slippery Rock Ln

Columbia, VA 230382325

Phone: 4343909913

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.