Physician Compare National (NPI:1275582272)

HEALTHCARE PROVIDER: WOODROW WILSON GRAY JR. MD PHD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1275582272
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274683610
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090605000542
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRAY
	Individual professional last name
Provider First Name	WOODROW
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	840 PINE ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 910
	Group Practice or individual's line 2 address
City	MACON
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	312017546
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER, NAVICENT HEALTH (THE)
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y