DR. CHRISTINE K GRAY MD
NPI 1114965936
Pediatrics - Adolescent Medicine in Waterloo, SC

Active since June 03, 2006
17124 HIGHWAY 72 W, WATERLOO, SC 29384(864) 393-1020(864) 568-3807 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Jan 9, 2020 (2 updates tracked since 2020).

About Dr. Christine K Gray Md NPPES

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

DR. CHRISTINE K GRAY MD (NPI 1114965936) is an individual adolescent medicine provider in Waterloo, South Carolina, licensed in South Carolina (82320) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114965936
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. CHRISTINE K GRAYCredential: MD
Location Address17124 HIGHWAY 72 WWaterloo, SC 29384-5144
Mailing Address17124 Highway 72 WWaterloo, SC 29384-5144 · (864) 393-1020 · Fax (864) 568-3807
Fax(864) 568-3807
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
NPI 1114965936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses Licensed in SC · 82320 Licensed in MS · 14952
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
17124 HIGHWAY 72 W, Waterloo, SC 29384

Other Identifiers 2

Medicaid00121295MS
Medicaid823201SC

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Family Medicine
17124 HIGHWAY 72 W
WATERLOO, SC 29384
Family Medicine
17124 HIGHWAY 72 W
WATERLOO, SC 29384

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 Christine Gray's NPI number?

The NPI number for Christine Gray is 1114965936. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Christine Gray located?

Christine Gray practices at 17124 Highway 72 W, Waterloo, SC 29384. The listed phone number is (864) 393-1020.

What is Christine Gray's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Christine Gray accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Christine 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 Christine Gray was last updated on June 2, 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.