NPIMap

Individual provider Active NPI

Alexander Hray III, M.D.

  • Family Medicine Physician
  • Beaufort, SC
National Provider Identifier
1083909121
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35320 Issued in SC
Practice address
1 Pinckney Blvd
Beaufort, SC 29902
Phone
(843) 228-5253
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35320 SC Primary

Addresses

Primary practice location

1 Pinckney Blvd
Beaufort, SC 29902

Mailing address

PO Box 2168
Spartanburg, SC 29304-2168
Phone (864) 560-4304

Other practice location 1

322 W South St
Union, SC 29379-2839
Phone (864) 429-8029

Other identifiers 5

IdentifierTypeStateIssuer
SCC841H888OtherSCMEDICARE PIN
353209MedicaidSC
SCC8416067OtherSCMEDICARE PIN
SCC8416084OtherSCMEDICARE PIN
SCC841J577OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thray136519@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716002168 SC Practitioner - Family Practice 1052668514 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Medical CenterGroup PAC ID 2264749308, 14 clinicians

Practice addresses (Care Compare)

1201 Furman L Fendley Hwy
Union, SC 29379-7419

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
  • Spartanburg Regional Home Health Home health agency, Spartanburg, SC, CCN 427024
  • Union Medical Center Hospital, Union, SC, CCN 420108
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35320SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Cherokee Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Union Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Cherokee Medical Center Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Union Medical Center Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Spartanburg Medical Center Family Medicine Current Accepting new patients
Union Medical Center Past Accepting new patients

Locations

840 W Floyd Baker Blvd
Gaffney, SC 29341
Phone (864) 489-3300

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

1200 E Main St
Ste 12
Spartanburg, SC 29307
Phone (864) 560-9260

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

2995 Reidville Rd
Ste 100
Spartanburg, SC 29301
Phone (864) 587-3000

1201 Furman L Fendley Hwy
Ste A
Union, SC 29379
Phone (864) 429-8029

322 W South St
Union, SC 29379
Phone (864) 301-2000

511 Cross Anchor Rd
Woodruff, SC 29388
Phone (864) 278-6031

Interoperability endpoints

  • Direct secure messaging: thray136519@direct-srhs.et0939.epichosted.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1083909121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293042168",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PINCKNEY BLVD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29902",
            "telephone_number": "843-228-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 W South St",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "SC",
            "postal_code": "293792839",
            "country_code": "US",
            "telephone_number": "864-429-8029",
            "fax_number": "864-429-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HRAY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC841H888",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353209",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC8416067",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC8416084",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC841J577",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thray136519@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "thray136519@direct-srhs.et0939.epichosted.com",
            "address_1": "322 W South St",
            "city": "Union",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293792839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.