Individual provider Active NPI

Caleb Jordan Gray, MSN, FNP-C

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1114402500
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-145244 Issued in AL
Practice address
52 Medical Park Dr E
Birmingham, AL 35235-3430
Phone
(205) 838-4747
NPI assigned
Oct 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-145244 AL
Nurse Practitioner 363L00000X 1-145244 AL Primary

Addresses

Primary practice location

52 Medical Park Dr E
Birmingham, AL 35235-3430

Mailing address

52 Medical Park Dr E
Birmingham, AL 35235-3430
Phone (205) 838-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20190423001365 AL Practitioner - Nurse Practitioner 2163764176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

5295 Preserve Pkwy
Suite 260
Hoover, AL 35244-4703
Phone (205) 380-9761

Hospital & facility affiliations

  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosports Associates LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Feb 23, 2023 Accepting new patients
Orthosports Associates LLC CurrentSince Jun 1, 2021 Accepting new patients
Baptist Health Centers, LLC CurrentSince Feb 23, 2023 Accepting new patients
Orthosports Associates, LLC CurrentSince Jun 1, 2021 Accepting new patients
Morgan Pediatrics Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

48 Medical Park Dr E
Ste 255
Birmingham, AL 35235

5295 Preserve Pkwy
Ste 260
Hoover, AL 35244
Phone (205) 444-4858

2800 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 744-4410

803 North St E
Talladega, AL 35160
Phone (256) 315-2252

Interoperability endpoints

  • Direct secure messaging: cgray74988@baptisthealthaldirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1114402500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353430",
            "telephone_number": "205-838-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CALEB",
        "middle_name": "JORDAN",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145244",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-145244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.