MATTHEW GRAY PA-C NPI 1972923605

NPI Information

  • NPI: 1972923605
  • Provider Name: MATTHEW GRAY, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • Address: 360 COUNTY ROAD 113
    WALNUT, MS
    ZIP 38683
  • Phone: (719) 466-1980

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NPI Details

Matthew Gray, PA-C is a physician assistant in Walnut, MS. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Matthew Gray, PA-C NPI is 1972923605. 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:

360 COUNTY ROAD 113
WALNUT, MS
ZIP 38683-704
Phone: (719) 466-1980

The enumeration date for this NPI number is 4/21/2014 and was last updated on 8/10/2022.

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
1363A00000XPhysician AssistantYes

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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