Pamela A Gray, MN, FNP | |
465 N Belair Rd, Suite 2b, Evans, GA 30809-3188 | |
(706) 774-7400 | |
(706) 774-7590 |
Full Name | Pamela A Gray |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 465 N Belair Rd, Evans, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295772069 | NPI | - | NPPES |
000895947B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN094164 (Georgia) | Primary |
Entity Name | University Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336413954 PECOS PAC ID: 2567640915 Enrollment ID: O20110707000164 |
Mailing Address | Practice Location Address |
---|---|
Pamela A Gray, MN, FNP 465 N Belair Rd, Suite 2b, Evans, GA 30809-3188 Ph: (706) 774-7400 | Pamela A Gray, MN, FNP 465 N Belair Rd, Suite 2b, Evans, GA 30809-3188 Ph: (706) 774-7400 |
Katie Ann Gresham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4720 Washington Rd, Evans, GA 30809 Phone: 706-774-7760 | |
Kristen Renee Bell, ARNP, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 393 N Belair Rd, Evans, GA 30809 Phone: 706-868-0104 Fax: 706-650-7825 | |
Mrs. Deundra Loraine Graham, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5110 Wells Dr, Evans, GA 30809 Phone: 706-664-4106 | |
Dr. Margo Louise Henderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 465 N Belair Rd, Ste 2b, Evans, GA 30809 Phone: 706-774-7400 Fax: 706-774-7590 | |
Mrs. Kathryn Ricks Toburen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 465 N Belair Rd, Suite 1-b, Evans, GA 30809 Phone: 706-868-3100 Fax: 706-228-3160 | |
Samantha Shoemaker Tojino, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Ponder Place Dr, Evans, GA 30809 Phone: 706-707-2808 | |
Mrs. Mary Elizabeth Wise, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 496 Fairfield Ct, Evans, GA 30809 Phone: 229-292-9248 |