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MS. MALLORY MARYRUTH GRAY CPNP-PC
NPI 1659992899
Nurse Practitioner - Pediatrics in Decatur, GA

Active since April 28, 2020
350 WINN WAY, DECATUR, GA 30030(404) 508-1177 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mallory Maryruth Gray Cpnp-pc NPPES

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

MS. MALLORY MARYRUTH GRAY CPNP-PC (NPI 1659992899) is an individual pediatrics provider in Decatur, Georgia, licensed in Georgia (RN262243) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1659992899
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MALLORY MARYRUTH GRAYCredential: CPNP-PC
Location Address350 WINN WAYDecatur, GA 30030-2106
Mailing Address350 Winn WayDecatur, GA 30030-2106 · (770) 312-5566
Phone(404) 508-1177
Sole ProprietorNo
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1659992899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN262243
350 WINN WAY, Decatur, GA 30030
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Other Providers at the Same Location NPPES 14

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

MELINDA E SHELTON MD
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
SARA LYNN GAMBONE CPNP-PC, APRN
Nurse Practitioner (Pediatrics)
350 WINN WAY
DECATUR, GA 30030
Dekalb County (813) 451-4372
DEBORAH C POLLACK MD
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
DR. PEGGY MICHELLE MARCUS MD
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
DEKALB PEDIATRIC CENTER
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
MARY ABRAHAM MD
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
CAROLINE PEARSON ZIRBEL CPNP
Nurse Practitioner (Pediatrics)
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177
JANE LOUISE WILKOV MD
Pediatrics
350 WINN WAY
DECATUR, GA 30030
Dekalb County (404) 508-1177

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 Mallory Gray's NPI number?

The NPI number for Mallory Gray is 1659992899. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Mallory Gray located?

Mallory Gray practices at 350 Winn Way, Decatur, GA 30030. The listed phone number is (404) 508-1177.

What is Mallory Gray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mallory Gray was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.