IndividualActive
Jefferson Grey, PA-C
NPI 1164556825 · Physician Assistant · Henderson, NV
Provider details
- NPI number
- 1164556825
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 478 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
149 N Gibson Rd Ste H
Henderson, NV 89014-6763
Phone: (702) 558-6275
Fax: (702) 856-3198
Street-level locationGet directions
Mailing address
8407 Amherst Valley St
Las Vegas, NV 89123-2474
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.