NPI age
17 years
Enumerated 2008-06-03
● Active
Type 1 · Individual
MR. Clarence Edward Gray JR.
Gray is 1 of 4 prosthetic/orthotic supplier providers in McDonough and 1 of 408 in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2008-06-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
17 years
↑ 6 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Practice location
275 Courtlyn Way
McDonough, GA 302526997
Mailing address
275 Courtlyn Way
McDonough, GA 302526997
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.