MACKENSLEY GRAY FNP
NPI 1104668797
Nurse Practitioner - Family in Florence, AL
About Mackensley Gray Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENSLEY GRAY FNP (NPI 1104668797) is an individual family provider in Florence, Alabama, licensed in Alabama (3-001926) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 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
Mackensley Gray Fnp 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 Reassignments
2Medicare enrollment records show Mackensley Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Florence, AL 35630
- Reassigned Medicare billing, Alabama enrollment
- 8 clinicians in this Medicare group
Corinth, MS 38834
- Reassigned Medicare billing, Mississippi enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35630 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FLORENCE, AL 35630
FLORENCE, AL 35630
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 Mackensley Gray's NPI number?
The NPI number for Mackensley Gray is 1104668797. It was assigned to this individual provider in the NPPES registry on June 12, 2024.
Where is Mackensley Gray located?
Mackensley Gray practices at 145 Ana Dr, Florence, AL 35630. The listed phone number is (256) 284-7280.
What is Mackensley Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mackensley Gray enrolled in Medicare?
Yes. Mackensley 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 organizations bill Medicare for Mackensley Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackensley Gray reassigns Medicare benefits to 2 organizations: The Florence Endocrine Clinic A Professional Limited Liability Company (Florence, AL) and Blavo Medical Group (Corinth, MS). Each 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 Mackensley Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackensley Gray accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Mackensley 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 Mackensley Gray was last updated on October 9, 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.
# Mackensley Gray, FNP · NPI 1104668797
Family physician in Florence, Alabama. Individual provider, active in the CMS NPPES registry since June 12, 2024.
## Identity
- **NPI:** 1104668797 (Entity type: Individual)
- **Enumerated:** June 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3-001926 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 ANA DR, Florence, AL 35630-1731
- **Phone:** (256) 284-7280 · **Fax:** (256) 284-7284
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): The Florence Endocrine Clinic A Professional Limited Liability Company (NPI 1750749628, Florence, AL); Blavo Medical Group (NPI 1184575532, Corinth, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104668797) · Data from the CMS NPPES public registry.