GARY RAY PROCTOR M.D. NPI 1952308181

NPI Information

  • NPI: 1952308181
  • Provider Name: GARY RAY PROCTOR, M.D.
  • Classification: Psychiatry & Neurology - 2084F0202X
  • Specialization: Forensic Psychiatry
  • Entity Type: Individual
  • Address: 10199 SOUTHSIDE BLVD
    BLD 100 SUITE 300
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (800) 700-8646

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NPI Details

Gary Ray Proctor, M.D. is a forensic psychiatry psychiatry neurology in Jacksonville, FL. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. Gary Ray Proctor, M.D. NPI is 1952308181. 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:

10199 SOUTHSIDE BLVD
BLD 100 SUITE 300
JACKSONVILLE, FL
ZIP 32256-758
Phone: (800) 700-8646

The enumeration date for this NPI number is 7/1/2005 and was last updated on 7/8/2007.

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
12084F0202XPsychiatry & NeurologyForensic PsychiatryME 71703FLORIDAYes
22084P0800XPsychiatry & NeurologyPsychiatryME 71703FLORIDAX

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: 3/30/2025

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