James Kent Gray, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G1415 Issued in TX

Practice address

14843 Big Oak Bay Rd
Tyler, TX 75707-7309

Phone

(903) 655-0880

Fax

(903) 654-6415

NPI assigned

Oct 21, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Texas Medical Center Healthcare Associates

  • Emergency Medicine Physician
  • Tyler, TX
  • NPI 1326082892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1023412988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14843 BIG OAK BAY RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757077309",
            "telephone_number": "903-655-0880",
            "fax_number": "903-654-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 BIG OAK BAY RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757077309",
            "telephone_number": "903-655-0880",
            "fax_number": "903-654-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen S Graves, MD
• Mary Elizabeth Graves, LPC, RPT
• Charlotte Gray
• Gerald Duane Gray, D.D.S.
• Hailey Suzanne Gray, PHARMD, RPH
• Kim Gray, MA., CCC-SLP
• Stacey Gray
• Grayce Nutrition and Wellness, LLC
• Lillie Grayson
• Greater Foundation Foot Clinics East Texas, PLLC

• Family Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.