DR. GINA VICK BRAY DO
NPI 1255338984
Internal Medicine in Southaven, MS

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
30.8/100
CMS Quality Rating
187 STATELINE RD E, SUITE 10, SOUTHAVEN, MS 38671(662) 342-5353(662) 393-9753 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Massac Memorial Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1255338984
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. GINA VICK BRAYCredential: DO
Location Address187 STATELINE RD E, SUITE 10Southaven, MS 38671-1704
Mailing AddressPo Box 1369Southaven, MS 38671-0014 · (662) 342-5353 · Fax (662) 393-9753
Fax(662) 393-9753
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1994
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 14, 2011
NPI 1255338984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MS · 15380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
187 STATELINE RD E, Southaven, MS 38671

Other Identifiers 3

Medicaid0118418MS
Medicare ID-Type Unspecified110001336Part B
Medicare UPING52317

Accepted Insurance

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

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.

PECOS PAC ID9739279886
PECOS Enrollment IDI20071213000402, I20250716002630
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County
Emergency services

South Sunflower County Hospital

Acute Care Hospitals · Indianola, MS
OwnershipGovernment - Local
CMS Certification Number250095
Location121 East Baker StreetIndianola, MS 38751 · Sunflower County
Emergency services Birthing friendly

Methodist Healthcare - Olive Branch Hospital

Acute Care Hospitals · Olive Branch, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250167
Location4250 Bethel RoadOlive Branch, MS 38654 · De Soto County
Emergency services Birthing friendly

S E Lackey Memorial Hospital

Critical Access Hospitals · Forest, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251300
Location330 N Broad StreetForest, MS 39074 · Scott County
Emergency services

Tyler Holmes Memorial Hospital Cah

Critical Access Hospitals · Winona, MS
OwnershipGovernment - Local
CMS Certification Number251312
Location409 Tyler Holmes DriveWinona, MS 38967 · Montgomery County
Emergency services

Physician 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.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

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.

Counselor (Professional)
187 STATELINE RD E, SUITE 17
SOUTHAVEN, MS 38671
Internal Medicine
187 STATELINE RD E, SUITE #10
SOUTHAVEN, MS 38671
Counselor (Professional)
187 STATELINE RD E, SUITE 17
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.

What insurance does Gina Bray accept?

Health plans from HMO Louisiana and Oscar Health Plan, Inc. 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 Massac Memorial Hospital, South Sunflower County Hospital, Methodist Healthcare - Olive Branch Hospital, S E Lackey Memorial 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.