MR. ROBERT LEE GRAY II PA-C
NPI 1215480678
Physician Assistant in Fernandina Beach, FL

Q: What is Robert Gray's NPI number?

The NPI number for Robert Gray is 1215480678. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Q: What is Robert Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Gray was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment

1987 S 8TH ST, FERNANDINA BEACH, FL 32034(904) 624-7003 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Nov 14, 2024, Nov 4, 2024 (3 updates tracked since 2024).

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About Mr. Robert Lee Gray Ii Pa-c NPPES

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

MR. ROBERT LEE GRAY II PA-C (NPI 1215480678) is an individual physician assistant in Fernandina Beach, Florida, licensed in Florida (PA9110588) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in St Simons Island, and is a graduate of Nova Southeastern College Of Osteo Medicine (2016).

NPPES Registry Identity

NPI1215480678

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ROBERT LEE GRAY IICredential: PA-C

Location Address1987 S 8TH STFernandina Beach, FL 32034-3071

Mailing Address409 Holly StSt Simons Island, GA 31522-1304

Phone(904) 624-7003

Sole ProprietorNo

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2016

Enumeration DateAugust 2, 2016

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1215480678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in FL · PA9110588✔ Licensed in GA · 008145✔ Licensed in TN · 3384

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.

1987 S 8TH ST, Fernandina Beach, FL 32034

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Secondary Practice Location 1

Location 1409 Holly StSt Simons Island, GA 31522-1304 · Phone (931) 267-7503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert Lee Gray Ii Pa-c 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 ID2264711886

PECOS Enrollment IDI20231101002607

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32034 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 5

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

JOSEPH A LONZETTA JR. DO

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