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MRS. JENNIFER H GRAY NP
NPI 1083962849
Nurse Practitioner - Family in Statesboro, GA

Active since August 27, 2012PECOS EnrolledAccepts Medicare Assignment
11 N COLLEGE ST, STATESBORO, GA 30458(912) 764-9868(912) 764-5066 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2025, Jul 2, 2019, Jun 3, 2019 and 1 more (4 updates tracked since 2019).

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

NPI1083962849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER H GRAYCredential: NP
Location Address11 N COLLEGE STStatesboro, GA 30458-5306
Mailing Address11 N College StStatesboro, GA 30458 · (912) 764-9868 · Fax (912) 764-5066
Phone(912) 764-9868
Fax(912) 764-5066
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 27, 2012
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1083962849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP168105
Also ListedRegistered NurseTaxonomy 163W00000X · License RN168105 (GA)
11 N COLLEGE ST, Statesboro, GA 30458
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1204 Durden StVidalia, GA 30474-4608 · Phone (912) 537-9316
Location 2263 N Brunswick StJesup, GA 31546-4373 · Phone (912) 427-9338

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID749432110
PECOS Enrollment IDI20121211000115
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services16 patients

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MICHELLE MEADOWS LPC, CPRP
Counselor
11 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 764-9868
PINELAND AREA COMMUNITY SERVICES BOARD
Community/Behavioral Health
11 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 764-9868
PINELAND MENTAL HEALTH,MENTAL RETARDATION & SUBSTANCE ABUSE SERVICES
Clinic/Center (Adult Mental Health)
11 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 764-9868
SUZETTE KAYE LAMBERT M.A. MFT
Marriage & Family Therapist
11 N COLLEGE ST
STATESBORO, GA 30458
Bulloch County (912) 489-6323

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.

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 9 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.