FLORA DENISE GRAY HALEY FNP
NPI 1124902606
Nurse Practitioner - Family in Jackson, MS
About Flora Denise Gray Haley Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLORA DENISE GRAY HALEY FNP (NPI 1124902606) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (907636) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Flora Denise Gray Haley Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Flora Haley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jackson, MS 39212
- Reassigned Medicare billing, Mississippi enrollment
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 39212 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39212
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 Flora Haley's NPI number?
The NPI number for Flora Haley is 1124902606. It was assigned to this individual provider in the NPPES registry on August 5, 2025. The provider is also known as Flora Denise Gray.
Where is Flora Haley located?
Flora Haley practices at 2021 Elizabeth Chapman Dr, Jackson, MS 39212. The listed phone number is (601) 906-9680.
What is Flora Haley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Flora Haley enrolled in Medicare?
Yes. Flora Haley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Flora Haley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Flora Haley reassigns Medicare benefits to Vital Touch Direct Care, PLLC (Jackson, MS). The 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 Flora Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Flora Haley accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Flora Haley 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 Flora Haley was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Flora Denise Gray Haley, FNP · NPI 1124902606
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since August 5, 2025.
## Identity
- **NPI:** 1124902606 (Entity type: Individual)
- **Enumerated:** August 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907636 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2021 ELIZABETH CHAPMAN DR, Jackson, MS 39212-3252
- **Phone:** (601) 906-9680
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vital Touch Direct Care, PLLC (NPI 1497697874, Jackson, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 20, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124902606) · Data from the CMS NPPES public registry.