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

Susan J. Gray, MD

Individual provider Family Medicine Physician · NPI 1003174004

Susan J. Gray, MD is a Family Practice in Fenton, Missouri. Graduated from Wake Forest University School of Medicine in 2012, 14 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and South Carolina.

Years since qualifying
14
Trained at
Wake Forest University School of Medicine
Licensed in
MO, SC
In the registry since
2012
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1345 Smizer Mill Rd Ste 1100
Fenton, MO 63026-7305
Phone: (636) 496-5023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 853 N Church St, Spartanburg, SC 29303-3098 — (864) 560-7001

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2016009600 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 34741 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003174004
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2012
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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