Individual provider · Type 1 NPI

Mikaela Rose Gray, PA

Physician Assistant · Atlanta, GA

NPI number 1740989615 Active

Practice location

993 Johnson Fy Rd NE Ste 210
Atlanta, GA 30342-1620

Fax (404) 252-3591

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X11428 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1740989615

Mikaela Rose Gray, PA's National Provider Identifier is 1740989615, issued on Feb 28, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 5, 2026.