MAHALA GRAY APRN, CNP
NPI 1780397646
Nurse Practitioner - Family in Centerville, OH
About Mahala Gray Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAHALA GRAY APRN, CNP (NPI 1780397646) is an individual family provider in Centerville, Ohio, licensed in Ohio (APRN.CNP.0032481) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mahala Gray Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTERVILLE, OH 45458
CENTERVILLE, OH 45458
CENTERVILLE, OH 45458
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 Mahala Gray's NPI number?
The NPI number for Mahala Gray is 1780397646. It was assigned to this individual provider in the NPPES registry on January 5, 2023.
Where is Mahala Gray located?
Mahala Gray practices at 1095 S Main St, Centerville, OH 45458. The listed phone number is (937) 528-7070.
What is Mahala Gray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mahala Gray enrolled in Medicare?
Yes. Mahala Gray is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Mahala Gray was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mahala Gray, APRN, CNP · NPI 1780397646
Family physician in Centerville, Ohio. Individual provider, active in the CMS NPPES registry since January 5, 2023.
## Identity
- **NPI:** 1780397646 (Entity type: Individual)
- **Enumerated:** January 5, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0032481 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1095 S MAIN ST, Centerville, OH 45458-3840
- **Phone:** (937) 528-7070
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 24, 2023
- **Other identifiers:** Other APRN.CNP.0032481 (OH); Other RN.443268 (OH); Other F07220675 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1780397646) · Data from the CMS NPPES public registry.