Robert Lee Gray II, PA-C

Physician Assistant · Fernandina Beach, FL

Individual Active NPI

NPI number 1215480678

Practice location

1987 S 8TH St
Fernandina Beach, FL 32034-3071
Phone
(904) 624-7003

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NPI record

NPI
1215480678
Entity type
Individual (Type 1)
Enumeration date
August 2, 2016
Last updated
September 17, 2025
Certified
September 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9110588 FL
Physician Assistant 363A00000X 008145 GA
Physician Assistant 363A00000X 3384 TN

Mailing address

409 Holly St
St Simons Island, GA 31522-1304

Other practice locations (1)

  • 409 Holly St, St Simons Island, GA 31522-1304 · (931) 267-7503

About Robert Gray

Robert Lee Gray II, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1987 S 8TH St, Fernandina Beach, FL 32034-3071. The NPI number 1215480678 was assigned on August 2, 2016 and the record was last updated on September 17, 2025.

Robert Gray lists 3 licenses in the registry: #PA9110588 (FL) for Physician Assistant; #008145 (GA) for Physician Assistant; #3384 (TN) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert Lee Gray II, PA-C?

The NPI number is 1215480678.

What is the phone number of Robert Gray?

The phone number listed for the practice location is (904) 624-7003.

Where is Robert Gray located?

1987 S 8TH St, Fernandina Beach, FL 32034-3071.

What is the taxonomy code for Robert Gray?

The primary taxonomy code is 363A00000X – Physician Assistant; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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