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MR. MARK WAYNE GRAY
NPI 1730653932
Peer Specialist in Moncks Corner, SC

Active since January 22, 2019
306 AIRPORT DR, MONCKS CORNER, SC 29461(843) 761-8272(843) 719-3025 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Wayne Gray NPPES

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

MR. MARK WAYNE GRAY (NPI 1730653932) is an individual peer specialist in Moncks Corner, South Carolina and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1730653932
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. MARK WAYNE GRAY
Location Address306 AIRPORT DRMoncks Corner, SC 29461-2629
Mailing Address306 Airport DrMoncks Corner, SC 29461-2629 · (843) 719-3018 · Fax (843) 719-3025
Phone(843) 761-8272
Fax(843) 719-3025
Sole ProprietorNo
Enumeration DateJanuary 22, 2019
✔ NPI 1730653932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
306 AIRPORT DR, Moncks Corner, SC 29461
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Other Identifiers 1

Medicaid1972574101SC

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.

DEIDRE HAYDEN LMSW
Social Worker
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
DANA BROOKE MANDEL MA, LPC-I, CACP
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
MRS. SUZANNE MORRIS BLAKELEY FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
JEREMY BLAKE ALSBROOK
Counselor (Addiction (Substance Use Disorder))
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 761-8272
MR. WILLIAM BRENT REECE LPC
Counselor
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3000
ANACORITA ELLISOR FNP
Nurse Practitioner (Family)
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088
MISS BRITTANY DANIELLE MCLAURIN CPSS
Peer Specialist
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (843) 719-3051
OHIO VALLEY PHYSICIANS, INC
Family Medicine
306 AIRPORT DR
MONCKS CORNER, SC 29461
Berkeley County (304) 429-1088

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 Mark Gray's NPI number?

The NPI number for Mark Gray is 1730653932. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Mark Gray located?

Mark Gray practices at 306 Airport Dr, Moncks Corner, SC 29461. The listed phone number is (843) 761-8272.

What is Mark Gray's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mark Gray was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.