MRS. SAMANTHA ELIZABETH GRAY
NPI 1588320188
Nurse Practitioner - Acute Care in Greenville, SC

Q: What is Samantha Gray's NPI number?

The NPI number for Samantha Gray is 1588320188. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Samantha Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Gray was last updated on January 11, 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.

Active since November 09, 2021PECOS EnrolledAccepts Medicare Assignment

890 W FARIS RD STE 580, GREENVILLE, SC 29605(864) 455-7874(864) 455-8933 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2022, Nov 9, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Samantha Elizabeth Gray NPPES

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

MRS. SAMANTHA ELIZABETH GRAY (NPI 1588320188) is an individual acute care provider in Greenville, South Carolina, licensed in South Carolina (25578) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Greenville Memorial Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1588320188

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. SAMANTHA ELIZABETH GRAY

Location Address890 W FARIS RD STE 580Greenville, SC 29605-4281

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(864) 455-7874

Fax(864) 455-8933

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 9, 2021

Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 11, 2022

✔ NPI 1588320188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in SC · 25578

890 W FARIS RD STE 580, Greenville, SC 29605

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Secondary Practice Location 1

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, InStil Health.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

Mrs. Samantha Elizabeth Gray 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 ID9032501283

PECOS Enrollment IDI20220119003025

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.

Hospital Affiliations CMS Care Compare

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

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

DR. ROBERT VINCENT MADLINGER D.O.

Surgery (Surgical Critical Care)