CHANDLER GRAY RDN
NPI 1679418297
Dietitian, Registered in Wilmington, NC

Active since April 21, 2026
2517 DELANEY AVE, WILMINGTON, NC 28403(910) 239-3562 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Chandler Gray Rdn NPPES

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

CHANDLER GRAY RDN (NPI 1679418297) is an individual dietitian, registered in Wilmington, North Carolina and active in the NPI registry since April 2026. The provider is a graduate of Other (2023).

NPPES Registry Identity

NPI1679418297
Entity TypeIndividual
Primary Taxonomy133V00000X
Provider Legal NameCHANDLER GRAYCredential: RDN
Location Address2517 DELANEY AVEWilmington, NC 28403-6003
Mailing Address2517 Delaney AveWilmington, NC 28403-6003
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1679418297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2517 DELANEY AVE, Wilmington, NC 28403

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandler Gray Rdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234608340
PECOS Enrollment IDI20260519001173

Medicare Billing Reassignment

Medicare enrollment records show Chandler Gray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
2517 DELANEY AVE
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403
Dietitian, Registered
2517 DELANEY AVE
WILMINGTON, NC 28403

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 Chandler Gray's NPI number?

The NPI number for Chandler Gray is 1679418297. It was assigned to this individual provider in the NPPES registry on April 21, 2026.

Where is Chandler Gray located?

Chandler Gray practices at 2517 Delaney Ave, Wilmington, NC 28403. The listed phone number is (910) 239-3562.

What is Chandler Gray's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Chandler Gray enrolled in Medicare?

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

Which organization bills Medicare for Chandler Gray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandler Gray reassigns Medicare benefits to Nutrition In Motion (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chandler Gray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chandler Gray was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.