AMANDA M. GRAY PA-C – NPI #1245635291
Physician Assistant

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.

AMANDA GRAY is a physician assistant located in GERMANTOWN, TN. NPPES has assigned the NPI number 1245635291 to AMANDA GRAY on November 01, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name AMANDA NICOLE MALONE. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363A00000X from the Health Care Provider Taxonomy code set, which is classified as Physician Assistant.

The NPI profile was last updated on Sep 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA GRAY below.

NPI Profile for
AMANDA M. GRAY

NPI Number
1245635291
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA M. GRAY
Former Name: AMANDA NICOLE MALONE
Credentials
PA-C
Primary location
1325 WOLF PARK DR STE 102
GERMANTOWN, TN 38138-1759
Phone: (901) 252-3400 Fax: (901) 763-4305
2 Other location(s):
125 Guthrie Dr
Southaven, MS 38671-5829
Phone: (662) 349-1964
Fax: (901) 763-4305
3145 Players Club Pkwy
Memphis, TN 38125-8835
Phone: (901) 252-3400
Fax: (901) 763-4305
Mailing address
1325 WOLF PARK DR STE 103
GERMANTOWN, TN 38138-1759
Phone: (901) 252-3400 Fax: (901) 763-4305
Sole Proprietor
No
Updated
Certification Date
Sep 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363A00000X
- Physician Assistant (Primary)
TN 2676
363AS0400X
- Physician Assistant / Surgical
MS PA00598

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
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How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.