Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GEORGIA CHARLOTTE GRAY
NPI 1275367724
Counselor - Professional in Gaithersburg, MD

Q: What is Georgia Gray's NPI number?

The NPI number for Georgia Gray is 1275367724. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Q: What is Georgia Gray's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Georgia Gray was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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 28, 2024PECOS Enrolled

9053 SHADY GROVE CT, GAITHERSBURG, MD 20877(240) 810-3790 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 1, 2026, Jul 17, 2026 (2 updates tracked since 2026).

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About Georgia Charlotte Gray NPPES

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

GEORGIA CHARLOTTE GRAY (NPI 1275367724) is an individual professional provider in Gaithersburg, Maryland, licensed in Maryland (LC18358) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1275367724

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameGEORGIA CHARLOTTE GRAY

Location Address9053 SHADY GROVE CTGaithersburg, MD 20877-1301

Mailing Address9053 Shady Grove CtGaithersburg, MD 20877-1301 · (240) 810-3790 · Fax (240) 243-6259

Phone(240) 810-3790

Sole ProprietorNo

Enumeration DateAugust 28, 2024

Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1275367724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC18358

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LGPC200001752 (DC)

9053 SHADY GROVE CT, Gaithersburg, MD 20877

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Secondary Practice Location 1

Location 12600 Virginia Ave NW Ste 205Washington, DC 20037-1945 · Phone (240) 810-3790 · Fax (240) 243-6259

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Charlotte Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

QI CHEN LGPC

Counselor (Mental Health)