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

MS. Eleasha R Gray, C-FNP

Individual provider Family Nurse Practitioner · NPI 1023264876

MS. Eleasha R Gray, C-FNP is a Nurse Practitioner in Stockbridge, Georgia. Qualified in 2007, 19 years ago. Practices with Interventional Spine and Pain Management Center PC, a 51-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2008
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Practice location Address checks out

165 N Park Trl
Stockbridge, GA 30281-5086
Phone: (770) 506-1800
Fax: (770) 389-5947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN121625 (GA)

Record details

NPI number1023264876
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-FNP
Sole proprietorYes
NPI enumeratedAugust 12, 2008
Last updated in NPPESJuly 6, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Interventional Spine And Pain Management Center Pc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockbridge