Carolina Psychology Group, PLLC
NPI 1265997407ActiveOrganization· Psychologist, Clinical· Winston Salem, NC
Psychologist, Clinical in Winston Salem, North Carolina, registered in NPPES in February 2019. The authorized official on file is Samuel Bemiss Gray, PSYD, Owner.
Overview
| NPI | 1265997407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2019 |
| Last updated in NPPES | Apr 4, 2022 |
| Certified by provider | Apr 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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