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

MADISON ALEXANDRA GRAY PA-C
NPI 1356294250
Physician Assistant - Medical in St Petersburg, FL

Active since February 19, 2026PECOS Enrolled
620 10TH ST N STE 2E, ST PETERSBURG, FL 33705(727) 824-8206(727) 824-7110 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 24, 2026, Jul 16, 2026 (2 updates tracked since 2026).

About Madison Alexandra Gray Pa-c NPPES

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

MADISON ALEXANDRA GRAY PA-C (NPI 1356294250) is an individual medical provider in St Petersburg, Florida, licensed in Florida (PA9121399) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2025).

NPPES Registry Identity

NPI1356294250
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADISON ALEXANDRA GRAYCredential: PA-C
Location Address620 10TH ST N STE 2ESt Petersburg, FL 33705-1407
Mailing Address2995 Drew St Fl 2Clearwater, FL 33759-3012 · (727) 532-0002 · Fax (813) 635-2613
Fax(727) 824-7110
Sole ProprietorYes
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2025
Enumeration DateFebruary 19, 2026
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1356294250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9121399
620 10TH ST N STE 2E, St Petersburg, FL 33705

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madison Alexandra Gray Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597231977
PECOS Enrollment IDI20260414004116
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 4

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

Nurse Practitioner
620 10TH ST N STE 2E
ST PETERSBURG, FL 33705
Internal Medicine (Rheumatology)
620 10TH ST N STE 2E
ST PETERSBURG, FL 33705
Internal Medicine (Hematology & Oncology)
620 10TH ST N STE 2E
ST PETERSBURG, FL 33705
Internal Medicine (Hematology & Oncology)
620 10TH ST N STE 2E
ST PETERSBURG, FL 33705

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 Madison Gray's NPI number?

The NPI number for Madison Gray is 1356294250. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Madison Gray located?

Madison Gray practices at 620 10th St N Ste 2E, St Petersburg, FL 33705. The listed phone number is (727) 824-8206.

What is Madison Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madison Gray enrolled in Medicare?

Yes. Madison Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Gray was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.