KRISTEN DAVID GRAY M.D. NPI 1861481517

NPI Information

  • NPI: 1861481517
  • Provider Name: KRISTEN DAVID GRAY, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 290 CLYDE MORRIS BLVD STE C2
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 259-6026

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NPI Details

Kristen David Gray, M.D. is a family medicine in Ormond Beach, FL with 41 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kristen David Gray, M.D. NPI is 1861481517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

290 CLYDE MORRIS BLVD STE C2
ORMOND BEACH, FL
ZIP 32174-204
Phone: (386) 259-6026

The NPI 1861481517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 10/17/2005 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineME85090FLORIDANo
2207Q00000XFamily Medicine80188CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1593339550OTHERFLORIDATAX IDENTIFICATION NUMBER
2264274300MEDICAIDFLORIDA
3K9529OTHERFLORIDAMEDICARE GROUP NUMBER
4592696120OTHERFLORIDATAX IDENIFICATION
5593339550OTHERFLORIDAWINTER PARK FAMILY HEALTH CENTER, INC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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