Look up the most recent NPI and PECOS records

Carlotta Juliana Gray

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

PECOS Enrollment

This provider is enrolled in PECOS as CARLOTTA GRAY.

Based on the most recent information from CMS, provider Carlotta Juliana Gray is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194418079
Provider Type
Individual
Full Name
Gray, Carlotta Juliana
Title
Ms.
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/29/2023
Last Updated
4/8/2024

Contact Information

Practice Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Mailing Location

Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203

(800) 491-0909

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 28484 South Carolina
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 243089 South Carolina

Carlotta Juliana Gray

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bacot, Brittany

Odum, Brianna Rhea

Pearson, Amy Lynn

Carter, Autumn Cheyann

Alfonso Gonzalez, Omar

Jessen, Elizabeth

Dawson, Jennie Lynn

Lloyd, Nancy Jessica

Green, Daisha Jerrice

Ayler, Kendra