MRS. JENNIFER H GRAY NP
NPI 1083962849
Nurse Practitioner - Family in Statesboro, GA
About Mrs. Jennifer H Gray Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER H GRAY NP (NPI 1083962849) is an individual family provider in Statesboro, Georgia, licensed in Georgia (APRN-NP168105) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Jennifer H Gray Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Statesboro, GA 30458
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATESBORO, GA 30458
STATESBORO, GA 30458
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Gray's NPI number?
The NPI number for Jennifer Gray is 1083962849. It was assigned to this individual provider in the NPPES registry on August 27, 2012.
Where is Jennifer Gray located?
Jennifer Gray practices at 11 N College St, Statesboro, GA 30458. The listed phone number is (912) 764-9868.
What is Jennifer Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Gray enrolled in Medicare?
Yes. Jennifer Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Gray reassigns Medicare benefits to Georgia Anesthesia And Pain Managment (Statesboro, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Gray accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jennifer Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Gray was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jennifer H Gray, NP · NPI 1083962849
Family physician in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since August 27, 2012.
## Identity
- **NPI:** 1083962849 (Entity type: Individual)
- **Enumerated:** August 27, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP168105 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 11 N COLLEGE ST, Statesboro, GA 30458-5306
- **Phone:** (912) 764-9868 · **Fax:** (912) 764-5066
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Georgia Anesthesia And Pain Managment (NPI 1053419044, Statesboro, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083962849) · Data from the CMS NPPES public registry.