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MRS. LATASHA DENISE GRAY PA-C
NPI 1740507730
Physician Assistant in Atlanta, GA

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
650 NORTH AVE NE # S204, ATLANTA, GA 30308(404) 504-6554 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Latasha Denise Gray Pa-c NPPES

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

MRS. LATASHA DENISE GRAY PA-C (NPI 1740507730) is an individual physician assistant in Atlanta, Georgia, licensed in Colorado (1091538) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Stewart, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740507730
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LATASHA DENISE GRAYCredential: PA-C
Location Address650 NORTH AVE NE # S204Atlanta, GA 30308-2705
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(404) 504-6554
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 29, 2010
Last NPPES UpdateAugust 2, 2021
NPPES CertifiedAugust 2, 2021
✔ NPI 1740507730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1091538
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
650 NORTH AVE NE # S204, Atlanta, GA 30308
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Secondary Practice Location 1

Location 11061 HARMON AVENUE, WINN ARMY COMMUNITY HOSPITALFORT STEWART, GA 31314-5674 · Phone (912) 435-6965

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. Latasha Denise Gray Pa-c 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 ID4789087768
PECOS Enrollment IDI20210728002784
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30308 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Latasha Gray's NPI number?

The NPI number for Latasha Gray is 1740507730. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Latasha Gray located?

Latasha Gray practices at 650 North Ave NE # S204, Atlanta, GA 30308. The listed phone number is (404) 504-6554.

What is Latasha Gray's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Latasha Gray enrolled in Medicare?

Yes. Latasha Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Latasha Gray was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.