TRAYCE GRAY
NPI 1790625143
Student in an Organized Health Care Education/Training Program in Marietta, GA
About Trayce Gray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAYCE GRAY (NPI 1790625143) is an individual student in an organized health care education/training program in Marietta, Georgia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trayce Gray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
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 Trayce Gray's NPI number?
The NPI number for Trayce Gray is 1790625143. It was assigned to this individual provider in the NPPES registry on March 28, 2026.
Where is Trayce Gray located?
Trayce Gray practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (409) 434-2804.
What is Trayce Gray's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Trayce Gray enrolled in Medicare?
Yes. Trayce Gray is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Trayce Gray was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Trayce Gray · NPI 1790625143
Student in an Organized Health Care Education/Training Program provider in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2026.
## Identity
- **NPI:** 1790625143 (Entity type: Individual)
- **Enumerated:** March 28, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 677 CHURCH ST NE, Marietta, GA 30060-1101
- **Phone:** (409) 434-2804
## 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:** June 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790625143) · Data from the CMS NPPES public registry.