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Deactivated NPI 1619952033 Deactivated / Inactive NPI Male Practitioner

Dr. Robert M. Gray , MD

Specialist • Sylacauga, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 08, 2005
NPI Deactivation Date November 15, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Gray, MD was a registered Specialist practicing in Sylacauga, AL. Throughout an active medical career spanning 19 years, Dr. Gray provided care at the practice location at 115 W CLAY ST until profile deactivation on 2024-11-15.

Practice Location & Contact Primary Location

Practice Address

115 W Clay St

Sylacauga, AL 351503413

Telephone 2562453267
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Sylacauga, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Sylacauga, AL (611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1114146446

Doctor of Medicine (M.D.)

Ashley Zeigler , MSN, CRNP, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1285229542

Master of Science in Nursing, Certified Registered Nurse Practitioner, CPNPPC

Frankie Wallis

Nurse Practitioner - Family

NPI 1760848360
Julie Boycott , CRNP

Nurse Practitioner - Family

NPI 1801137898

Certified Registered Nurse Practitioner

Darlene Mathis , CRNP

Nurse Practitioner - Family

NPI 1811974827

Certified Registered Nurse Practitioner

NPI 1902880768

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 15, 2024

Record deactivated on November 15, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 115 W CLAY ST, SYLACAUGA, AL 351503413 (Tel: 2562453267)

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Updated Business Mailing Address July 08, 2007

Registered at 115 W CLAY ST, SYLACAUGA, AL 351503413 (Tel: 2562453267)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT GRAY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

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Initial NPI Registration & Enumeration December 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619952033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2005
Last Update: July 08, 2007
Deactivation Date: November 15, 2024

Mailing Address

115 W Clay St

Sylacauga, AL 351503413

Phone: 2562453267

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.