REL LARKIN GRAY MD
NPI 1639188527
Family Medicine in Ruston, LA
About Rel Larkin Gray Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REL LARKIN GRAY MD (NPI 1639188527) is an individual family medicine provider in Ruston, Louisiana, licensed in Louisiana (010367) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and holds a CLIA Waiver certificate valid through February 24, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Rel Larkin Gray Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D0941462
Rel L Gray MD Pmc · Ruston, LAFrequently 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 Rel Gray's NPI number?
The NPI number for Rel Gray is 1639188527. It was assigned to this individual provider in the NPPES registry on August 7, 2006.
Where is Rel Gray located?
Rel Gray practices at 206 E Reynolds Drive Suite C2, Ruston, LA 71270. The listed phone number is (318) 251-1000.
What is Rel Gray's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rel Gray enrolled in Medicare?
No. Rel Gray has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
Does Rel Gray hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D0941462) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rel Gray was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Rel Larkin Gray, MD · NPI 1639188527
Family Medicine physician in Ruston, Louisiana. Individual provider, active in the CMS NPPES registry since August 7, 2006.
## Identity
- **NPI:** 1639188527 (Entity type: Individual)
- **Enumerated:** August 7, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 010367 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 E REYNOLDS DRIVE, SUITE C2, Ruston, LA 71270
- **Phone:** (318) 251-1000 · **Fax:** (318) 251-1002
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 52364 (AR); Medicare UPIN B63804; Medicaid 1119032 (LA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639188527) · Data from the CMS NPPES public registry.