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

Mrs. Amanda Malone Gray, PA-C

Individual provider Surgical Physician Assistant · NPI 1245635291

Mrs. Amanda Malone Gray, PA-C is a Physician Assistant in Germantown, Tennessee. Qualified in 2014, 12 years ago. Practices with Conrad Pearson Clinic PC, a 22-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
12
Licensed in
MS, TN
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1325 Wolf Park Dr Ste 102
Germantown, TN 38138-1759
Phone: (901) 252-3400
Fax: (901) 763-4305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 125 Guthrie Dr, Southaven, MS 38671-5829 — (662) 349-1964
  • 3145 Players Club Pkwy, Memphis, TN 38125-8835 — (901) 252-3400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2676 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2676 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00598 (MS)

Record details

NPI number1245635291
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2014
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Conrad Pearson Clinic Pc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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