DR. JACQUELINE J GRAY MD
NPI 1346354297
Pediatrics in Bossier City, LA
About Dr. Jacqueline J Gray Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE J GRAY MD (NPI 1346354297) is an individual pediatrics provider in Bossier City, Louisiana, licensed in Ohio (35075835) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Middletown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacqueline J Gray Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bossier City, LA 71111
- Reassigned Medicare billing, Louisiana enrollment
- 70 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacqueline Gray's NPI number?
The NPI number for Jacqueline Gray is 1346354297. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Jacqueline Gray located?
Jacqueline Gray practices at 2300 Hospital Dr Ste 420, Bossier City, LA 71111. The listed phone number is (318) 212-7880.
What is Jacqueline Gray's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jacqueline Gray enrolled in Medicare?
Yes. Jacqueline Gray is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Gray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Gray reassigns Medicare benefits to David Raines Community Health Center, Inc (Bossier City, LA). The 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 Jacqueline Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacqueline Gray was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Jacqueline J Gray, MD · NPI 1346354297
Pediatrics physician in Bossier City, Louisiana. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1346354297 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 35075835 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 HOSPITAL DR STE 420, Bossier City, LA 71111-2166
- **Phone:** (318) 212-7880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** David Raines Community Health Center, Inc (NPI 1891964789, Bossier City, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2025
- **Other identifiers:** Medicaid 2489258 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1346354297) · Data from the CMS NPPES public registry.