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GRAY FAMILY HEALTH
NPI 1154363745
Family Medicine in Gray, GA

Active since June 11, 2006CLIA 11D0914701 · Microscopy
110 STONE BROOKE DR, GRAY, GA 31032(478) 986-4743 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Gray Family Health NPPES

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

GRAY FAMILY HEALTH (NPI 1154363745) is a healthcare organization registered as a family medicine in Gray, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through April 12, 2027 and lists Mickey Pickler, Vp, as its authorized official.

NPPES Registry Identity

NPI1154363745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOLISEUM HEALTH GROUP LLC
Location Address110 STONE BROOKE DRGray, GA 31032-5865
Mailing Address110 Stone Brooke DrGray, GA 31032-5865 · (478) 986-4743
Phone(478) 986-4743
Organization SubpartNo
Authorized OfficialMickey PicklerVp · (615) 373-7600
Enumeration DateJune 11, 2006
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1154363745 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.
110 STONE BROOKE DR, Gray, GA 31032
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Other Names 1

Doing Business AsGray Family Health

Other Identifiers 3

OtherCN6965GA · Railroad Medicare
Medicare ID-Type UnspecifiedCN9807GA · Railroad Medicare
Medicare PINGRP3184GA

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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0914701

Gray Family Healthcare LLC · Gray, GA
Active · expires Apr 12, 2027
CLIA Number11D0914701
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorDr. Linda S. Arnold Walker
Laboratory Phone(478) 986-4743
Laboratory LocationGray Family Healthcare LLC260 W Clinton Street, Gray, GA 31032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

COMMUNITY TRANSPORT, LLC
Non-emergency Medical Transport (VAN)
110 STONE BROOKE DR
GRAY, GA 31032
Jones County (478) 621-2100

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 Coliseum Health Group LLC's NPI number?

The NPI number for Coliseum Health Group LLC is 1154363745. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Gray Family Health.

Where is Coliseum Health Group LLC located?

Coliseum Health Group LLC is located at 110 Stone Brooke Dr, Gray, GA 31032. The listed phone number is (478) 986-4743.

What is Coliseum Health Group LLC's specialty?

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

Does Coliseum Health Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0914701) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coliseum Health Group LLC was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.