DR. SHAKETHA ACQUINETTA GRAY M.D
NPI 1528309911
Pediatrics in Winston Salem, NC

Active since March 08, 2013
1200 N MARTIN LUTHER KING JR DR, WINSTON SALEM, NC 27101(336) 713-9800(336) 713-9641 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2022, Jun 18, 2018 (2 updates tracked since 2018).

About Dr. Shaketha Acquinetta Gray M.d NPPES

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

DR. SHAKETHA ACQUINETTA GRAY M.D (NPI 1528309911) is an individual pediatrics provider in Winston Salem, North Carolina, licensed in North Carolina (2022-00459) and active in the NPI registry since March 2013. She maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1528309911
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHAKETHA ACQUINETTA GRAYCredential: M.D
Location Address1200 N MARTIN LUTHER KING JR DRWinston Salem, NC 27101-3006
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-0238
Fax(336) 713-9641
Sole ProprietorNo
Enumeration DateMarch 8, 2013
Last NPPES UpdateApril 20, 20222 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1528309911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in NC · 2022-00459
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License ME136832 (FL)
1200 N MARTIN LUTHER KING JR DR, Winston Salem, NC 27101

Secondary Practice Location 1

Location 13100 SW 62nd AveMiami, FL 33155 · Phone (305) 668-5525 · Fax (305) 740-5064

Accepted Insurance

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.

Student in an Organized Health Care Education/Training Program
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Internal Medicine
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Counselor (Professional)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Nurse Practitioner
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Pharmacist
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101
Social Worker (Clinical)
1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM, NC 27101

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 Shaketha Gray's NPI number?

The NPI number for Shaketha Gray is 1528309911. It was assigned to this individual provider in the NPPES registry on March 8, 2013.

Where is Shaketha Gray located?

Shaketha Gray practices at 1200 N Martin Luther King Jr Dr, Winston Salem, NC 27101. The listed phone number is (336) 713-9800.

What is Shaketha Gray's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Shaketha Gray accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Shaketha Gray 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.

When was this NPI record last updated?

The NPPES record for Shaketha Gray was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.