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GRAY REIGN MEDICAL, PLLC
NPI 1134909575
Family Medicine in Grand Rapids, MI

Active since October 03, 2023CLIA 23D2294278 · Waiver
6255 28TH STREET SE, SUITE 2, GRAND RAPIDS, MI 49546(616) 980-0901(616) 980-2231 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 7, 2024, Oct 3, 2023 (2 updates tracked since 2023).

About Gray Reign Medical, Pllc NPPES

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

GRAY REIGN MEDICAL, PLLC (NPI 1134909575) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Afriyie Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1134909575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAY REIGN MEDICAL, PLLC
Location Address6255 28TH STREET SE, SUITE 2Grand Rapids, MI 49546
Mailing Address6255 28th Street Se, Suite 2Grand Rapids, MI 49546 · (616) 980-0901 · Fax (616) 980-2231
Phone(616) 980-0901
Fax(616) 980-2231
Organization SubpartNo
Authorized OfficialAfriyie GrayOwner · (616) 980-0901
Enumeration DateOctober 3, 2023
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
✔ NPI 1134909575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6255 28TH STREET SE, Grand Rapids, MI 49546
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2294278

Gray Reign Medical · Grand Rapids, MI
Active · expires Nov 20, 2027
CLIA Number23D2294278
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorAfriyie Gray
Laboratory Phone(517) 862-5207
Laboratory LocationGray Reign Medical6255 28th Street Suite 2, Grand Rapids, MI 49546
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Gray Reign Medical, PLLC's NPI number?

The NPI number for Gray Reign Medical, PLLC is 1134909575. It was assigned to this organization in the NPPES registry on October 3, 2023.

Where is Gray Reign Medical, PLLC located?

Gray Reign Medical, PLLC is located at 6255 28th Street SE Suite 2, Grand Rapids, MI 49546. The listed phone number is (616) 980-0901.

What is Gray Reign Medical, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gray Reign Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2294278) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gray Reign Medical, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gray Reign Medical, PLLC 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 Gray Reign Medical, PLLC was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.