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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Earle C. Grey, PA

Surgical Physician Assistant in Tampa, FL · enumerated 2006 · practices at Baycare Medical Group Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104982628

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Registry record

Entity type Individual (Type 1)
Name Mr. Earle C. Grey
Credential PA
Sex Male
Practice address 2727 W Dr Mlk Blvd Ste 460, Tampa, FL, 33607
Fax (813) 873-2391
Enumeration date Dec 29, 2006
Last updated in NPPES May 11, 2023

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9108320 (FL) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
013890700 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Earle Grey's NPI record?
Cross-check NPI 1104982628 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104982628 active?
Yes, as of the latest NPPES snapshot, NPI 1104982628 is active (record last updated 2023-05-11).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-11.