Healthcare Provider Details

I. General information

NPI: 1184549826
Provider Name (Legal Business Name): AMY GAY RAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9108 HUNTERS GREENE DR
ZEBULON NC
27597-7309
US

IV. Provider business mailing address

9108 HUNTERS GREENE DR
ZEBULON NC
27597-7309
US

V. Phone/Fax

Practice location:
  • Phone: 919-302-9721
  • Fax:
Mailing address:
  • Phone: 919-302-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number90724
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number90724
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: