ANNA NICOLE GRAY FNP-BC
NPI 1205666807
Nurse Practitioner - Family in Okatie, SC

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment
719 OKATIE HWY # 170, OKATIE, SC 29909(843) 987-7400 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2024, Aug 7, 2024 (2 updates tracked since 2024).

About Anna Nicole Gray Fnp-bc NPPES

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

ANNA NICOLE GRAY FNP-BC (NPI 1205666807) is an individual family provider in Okatie, South Carolina, licensed in South Carolina (29138) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Beaufort County Memorial Hospital, and maintains a secondary practice location in Johns Island.

NPPES Registry Identity

NPI1205666807
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNA NICOLE GRAYCredential: FNP-BC
Location Address719 OKATIE HWY # 170Okatie, SC 29909-3963
Mailing Address3741 Marshfield RdJohns Island, SC 29455-7819 · (843) 302-4109
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 7, 2024
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1205666807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 29138
719 OKATIE HWY # 170, Okatie, SC 29909

Secondary Practice Location 1

Location 13741 Marshfield RdJohns Island, SC 29455-7819 · Phone (843) 302-4109

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Nicole Gray Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678001187
PECOS Enrollment IDI20250113000404
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Anna Gray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
719 N OKATIE HWY
Ridgeland, SC 29936
  • Reassigned Medicare billing, South Carolina enrollment
  • 98 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
302 MEDICAL PARK DR, SUITE 111
Walterboro, SC 29488
  • Reassigned Medicare billing, South Carolina enrollment
  • 79 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
719 OKATIE HWY # 170
OKATIE, SC 29909
Dentist (General Practice)
719 OKATIE HWY # 170
OKATIE, SC 29909
Nurse Practitioner (Adult Health)
719 OKATIE HWY # 170
OKATIE, SC 29909
Nurse Practitioner (Family)
719 OKATIE HWY # 170
OKATIE, SC 29909
Nutritionist (Nutrition, Education)
719 OKATIE HWY # 170
OKATIE, SC 29909
Dietitian, Registered
719 OKATIE HWY # 170
OKATIE, SC 29909
Dentist (Pediatric Dentistry)
719 OKATIE HWY # 170
OKATIE, SC 29909
Pediatrics
719 OKATIE HWY # 170
OKATIE, SC 29909

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 Anna Gray's NPI number?

The NPI number for Anna Gray is 1205666807. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Anna Gray located?

Anna Gray practices at 719 Okatie Hwy # 170, Okatie, SC 29909. The listed phone number is (843) 987-7400.

What is Anna Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anna Gray enrolled in Medicare?

Yes. Anna Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Anna Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Gray reassigns Medicare benefits to 2 organizations: Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Ridgeland, SC) and Fetter Health Care Network, Inc (Walterboro, SC). Each 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 Anna Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Gray accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Anna 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.

Is Anna Gray affiliated with any hospitals?

According to CMS data, Anna Gray is affiliated with Beaufort County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Anna Gray was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.