DR. GINA VICK BRAY DO
NPI 1255338984
Internal Medicine in Southaven, MS
About Dr. Gina Vick Bray Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GINA VICK BRAY DO (NPI 1255338984) is an individual internal medicine provider in Southaven, Mississippi, licensed in Mississippi (15380) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with South Sunflower County Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Gina Vick Bray Do 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.
Medicare Billing Reassignments
14Medicare enrollment records show Gina Bray reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ripley, TN 38063
- Reassigned Medicare billing, Tennessee enrollment
- 49 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Savannah, TN 38372
- Reassigned Medicare billing, Tennessee enrollment
- 37 clinicians in this Medicare group
Indianola, MS 38751
- Reassigned Medicare billing, Mississippi enrollment
- 89 clinicians in this Medicare group
Aberdeen, MS 39730
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1285164046 (Mississippi)
- 168 clinicians in this Medicare group
Sebastopol, MS 39359
- Reassigned Medicare billing, Mississippi enrollment
- Also billed through NPI 1306909734 (Mississippi)
- 94 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Mississippi enrollment
- 65 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
Butler, AL 36904
- Reassigned Medicare billing, Alabama enrollment
- 77 clinicians in this Medicare group
Cookeville, TN 38501
- Reassigned Medicare billing, Tennessee enrollment
- 78 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.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Sunflower County Hospital
Acute Care Hospitals · Indianola, MSMethodist Healthcare - Olive Branch Hospital
Acute Care Hospitals · Olive Branch, MSMonroe Regional Hospital
Critical Access Hospitals · Aberdeen, MSTyler Holmes Memorial Hospital Cah
Critical Access Hospitals · Winona, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38671 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
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 Gina Bray's NPI number?
The NPI number for Gina Bray is 1255338984. It was assigned to this individual provider in the NPPES registry on July 7, 2005.
Where is Gina Bray located?
Gina Bray practices at 187 Stateline Rd E Suite 10, Southaven, MS 38671. The listed phone number is (662) 342-5353.
What is Gina Bray's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gina Bray enrolled in Medicare?
Yes. Gina Bray 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 Gina Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Bray reassigns Medicare benefits to 14 organizations: Lauderdale Community Hospital LLC (Ripley, TN), T M Carr MD PC (Dyersburg, TN), Hardin Emergency Group LLC (Savannah, TN), South Sunflower County Hospital (Indianola, MS), Boa Vida Hospital Of Aberdeen, Ms, LLC (Aberdeen, MS) and 9 more organizations, listed in the Medicare section above. 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 Gina Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Bray accept?
Health plans from Blue Cross and Blue Shield of Alabama, HMO Louisiana, Oscar Health Plan, Inc. and Oscar Insurance Company list Gina Bray 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 Gina Bray affiliated with any hospitals?
According to CMS data, Gina Bray is affiliated with South Sunflower County Hospital, Methodist Healthcare - Olive Branch Hospital, Monroe Regional Hospital and Tyler Holmes Memorial Hospital Cah.
When was this NPI record last updated?
The NPPES record for Gina Bray was last updated on April 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Gina Vick Bray, DO · NPI 1255338984
Internal Medicine physician in Southaven, Mississippi. Individual provider, active in the CMS NPPES registry since July 7, 2005.
## Identity
- **NPI:** 1255338984 (Entity type: Individual)
- **Enumerated:** July 7, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 15380 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 187 STATELINE RD E, SUITE 10, Southaven, MS 38671-1704
- **Phone:** (662) 342-5353 · **Fax:** (662) 393-9753
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Lauderdale Community Hospital LLC (NPI 1134099906, Ripley, TN); T M Carr MD PC (NPI 1992706097, Dyersburg, TN); Hardin Emergency Group LLC (NPI 1972850477, Savannah, TN); South Sunflower County Hospital (NPI 1407064454, Indianola, MS); Boa Vida Hospital Of Aberdeen, Ms, LLC (NPI 1710405741, Aberdeen, MS); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 1994
## Record status
- **NPPES last updated:** April 14, 2011
- **Other identifiers:** Medicaid 0118418 (MS); Medicare ID-Type Unspecified 110001336; Medicare UPIN G52317
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Source: [NPI Profile](https://npiprofile.com/npi/1255338984) · Data from the CMS NPPES public registry.