LATOYA GRAY
NPI 1104625508
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA
About Latoya Gray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATOYA GRAY (NPI 1104625508) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (RN282463) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Latoya Gray 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30214 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.
FAYETTEVILLE, GA 30214
FAYETTEVILLE, GA 30214
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 Latoya Gray's NPI number?
The NPI number for Latoya Gray is 1104625508. It was assigned to this individual provider in the NPPES registry on March 10, 2025.
Where is Latoya Gray located?
Latoya Gray practices at 805 Lanier Ave E, Fayetteville, GA 30214. The listed phone number is (770) 694-6349.
What is Latoya Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Latoya Gray enrolled in Medicare?
Yes. Latoya 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.
When was this NPI record last updated?
The NPPES record for Latoya Gray was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Latoya Gray · NPI 1104625508
Psychiatric/Mental Health physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since March 10, 2025.
## Identity
- **NPI:** 1104625508 (Entity type: Individual)
- **Enumerated:** March 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN282463 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 805 LANIER AVE E, Fayetteville, GA 30214-2204
- **Phone:** (770) 694-6349
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104625508) · Data from the CMS NPPES public registry.