Tiffany B Gray, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN16100 Issued in TN

Practice address

270 E Court Ave Ste B
Selmer, TN 38375-2304

Phone

(731) 645-7932

Fax

(731) 645-5195

NPI assigned

Oct 10, 2011

Sex

Female

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hardin County Regional Health Center 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hardin Medical Center Hospital, Savannah, TN, CCN 440109

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tiffany.gray.p1@direct.lifespanhealth.nextgenshare.com

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.

• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1184676157

  TN

  Medicare reassignment Care Compare group NPD
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1013509223
  Care Compare group NPD
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
  • NPI 1003065772
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Clifton, TN
  • NPI 1063660595
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Adamsville, TN
  • NPI 1508292319
  Care Compare group
• Hardin County Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Selmer, TN
  • NPI 1881247500
  Care Compare group

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

• Hardin County General Hospital

  • General Acute Care Hospital
  • Savannah, TN
  • NPI 1699754812

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1114201068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E COURT AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752304",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E COURT AVE STE B",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752304",
            "telephone_number": "731-645-7932",
            "fax_number": "731-645-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 White Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383401914",
            "country_code": "US",
            "telephone_number": "731-989-2174",
            "fax_number": "731-645-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 E Main St",
            "address_purpose": "LOCATION",
            "city": "Adamsville",
            "state": "TN",
            "postal_code": "383102458",
            "country_code": "US",
            "telephone_number": "731-632-3383",
            "fax_number": "731-645-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Hamlet Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "TN",
            "postal_code": "383402407",
            "country_code": "US",
            "telephone_number": "731-989-2174",
            "fax_number": "731-645-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN16100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmanan Ganapathy, MD
• Margaret Ashley Gary, LPC
• Dyana Alexander Gates, PT
• Stephanie Goodrum, LPC
• Deborah Graham
• Thomas Lyndon Grissom, DPH
• Hardin County Regional Health Center
• Jonathan Harrison, M.MIN
• Morgan Hays, ATC
• Angela Hazlehurst

• All providers in Selmer, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.