MR. EARLE C. GREY PA
NPI 1104982628
Physician Assistant - Surgical in Tampa, FL

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment
2727 W DR MLK BLVD STE 460, TAMPA, FL 33607(813) 879-4328(813) 873-2391 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2023, May 2, 2023 (2 updates tracked since 2023).

About Mr. Earle C. Grey Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EARLE C. GREY PA (NPI 1104982628) is an individual surgical provider in Tampa, Florida, licensed in Florida (PA9108320) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104982628
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. EARLE C. GREYCredential: PA
Location Address2727 W DR MLK BLVD STE 460Tampa, FL 33607-6001
Mailing Address2727 W Dr Mlk Blvd Ste 460Tampa, FL 33607-6001 · (813) 879-4328 · Fax (813) 873-2391
Fax(813) 873-2391
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 29, 2006
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
NPI 1104982628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in FL · PA9108320
2727 W DR MLK BLVD STE 460, Tampa, FL 33607

Other Identifiers 1

Medicaid013890700FL

Accepted 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

Mr. Earle C. Grey Pa 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 ID8628034030
PECOS Enrollment IDI20150108000456
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.
18 services17 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
2727 W DR MLK BLVD STE 460
TAMPA, FL 33607

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 Earle Grey's NPI number?

The NPI number for Earle Grey is 1104982628. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Earle Grey located?

Earle Grey practices at 2727 W Dr Mlk Blvd Ste 460, Tampa, FL 33607. The listed phone number is (813) 879-4328.

What is Earle Grey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Earle Grey enrolled in Medicare?

Yes. Earle Grey 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 Earle Grey accept?

Health plans from AvMed list Earle Grey 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 Earle Grey was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.