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Deactivated NPI 1013004027 Deactivated / Inactive NPI Male Practitioner

Peter B Gray , PA-C

Physician Assistant - Medical • Clarkesville, GA

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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, Peter Gray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date April 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Peter Gray, PA-C was a registered Physician Assistant - Medical practicing in Clarkesville, GA. Throughout an active medical career spanning 17 years, Peter Gray provided care at the practice location at 5330 HIGHWAY 115 until profile deactivation on 2023-04-29.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5330 Highway 115

Clarkesville, GA 305236730

Telephone 7067545991
Fax 7067546736
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Clarkesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Clarkesville, GA (1331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
433 111 $13.00 $5.22
99213 Established patient office or other outpatient visit, typically 15 minutes
187 187 $116.00 $72.95
17000 Destruction of skin growth
168 166 $156.00 $37.03
17004 Destruction of precancer skin growth, 15 or more growths
144 144 $300.00 $133.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
115 114 $168.00 $102.74
17110 Destruction of up to 14 skin growths
98 98 $236.00 $81.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
48 18 $6.00 $1.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
28 26 $324.00 $134.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $260.00 $135.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
23 23 $68.00 $43.48
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm
22 22 $152.00 $92.31
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm
19 19 $188.00 $97.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $172.00 $90.76
10061 Complicated or multiple drainage of skin abscess
15 13 $492.00 $171.34
10060 Simple or single drainage of skin abscess
13 13 $277.00 $96.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
11 11 $59.00 $11.30
17111 Destruction of skin growth, 15 or more growths
11 11 $257.00 $95.31

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License GA 004862

Definition to come...

Practice Associates & Co-Workers

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

1 Associated Practitioners
Leah Watts , PA-C

Physician Assistant

NPI 1659835973

Physician Assistant (Certified)

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 April 29, 2023

Record deactivated on April 29, 2023

NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 05, 2017

Registered at 5330 HIGHWAY 115, CLARKESVILLE, GA 305236730 (Tel: 7067545991)

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Updated Business Mailing Address January 05, 2017

Registered at 5330 HIGHWAY 115, CLARKESVILLE, GA 305236730 (Tel: 7067545991)

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Provider Name / Credentials Updated January 05, 2017

Recorded as PETER GRAY, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Physician Assistant (License #004862 in GA)

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Initial NPI Registration & Enumeration October 10, 2006

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: 1013004027
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: January 05, 2017
Deactivation Date: April 29, 2023

Mailing Address

5330 Highway 115

Clarkesville, GA 305236730

Phone: 7067545991

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.