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MR. JEFFERSON IRVING GREY PA-C
NPI 1164556825
Physician Assistant in Henderson, NV

Active since March 15, 2007
149 N GIBSON RD STE H, HENDERSON, NV 89014(702) 558-6275(702) 856-3198 Get Directions Write a Review

NPPES record last updated: January 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jefferson Irving Grey Pa-c NPPES

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

MR. JEFFERSON IRVING GREY PA-C (NPI 1164556825) is an individual physician assistant in Henderson, Nevada, licensed in Nevada (478) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1164556825
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JEFFERSON IRVING GREYCredential: PA-C
Location Address149 N GIBSON RD STE HHenderson, NV 89014-6763
Mailing Address8407 Amherst Valley StLas Vegas, NV 89123-2474 · (702) 616-1563
Phone(702) 558-6275
Fax(702) 856-3198
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 19, 2010
✔ NPI 1164556825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · 478
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
149 N GIBSON RD STE H, Henderson, NV 89014
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Other Identifiers 4

Medicare PINCJ121ZNV
Medicare PINBK083ANV
Medicare PINCJ121YNV
Medicare PINBK083BNV

Other Providers at the Same Location NPPES 3

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

JOSY LYNN GARCIA DPT
Physical Therapist
149 N GIBSON RD STE H
HENDERSON, NV 89014
Clark County (702) 558-6275
DUSTIN DOUGLAS PT, DPT
Physical Therapist
149 N GIBSON RD STE H
HENDERSON, NV 89014
Clark County (702) 558-6275
CHAYUT GORDON VONGMEPUNT DPT
Physical Therapist
149 N GIBSON RD STE H
HENDERSON, NV 89014
Clark County (702) 558-6275

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 Jefferson Grey's NPI number?

The NPI number for Jefferson Grey is 1164556825. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Jefferson Grey located?

Jefferson Grey practices at 149 N Gibson Rd Ste H, Henderson, NV 89014. The listed phone number is (702) 558-6275.

What is Jefferson Grey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jefferson Grey was last updated on January 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.