Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Russell Wayne Gray, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1215697388

Dr. Russell Wayne Gray, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Hattiesburg, Mississippi. Qualified in 2021, 5 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

5001 Hardy St
Hattiesburg, MS 39402-1308
Phone: (601) 319-5647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 261-3606

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901751 (MS)

Record details

NPI number1215697388
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 30, 2021
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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