Active NPI
Charles Lee Gray Jr., FNP-BC
- Family Nurse Practitioner
- Baileyton, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-102412
- Practice address
- 105 Fire Station Rd
Baileyton, AL 35019-9609 - Phone
- (256) 735-4057
- NPI assigned
- Apr 20, 2021
- Last updated
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-102412 | AL | Primary |
Addresses
Primary practice location
105 Fire Station Rd
Baileyton, AL 35019-9609
Mailing address
105 Fire Station Rd
Baileyton, AL 35019-9609
Phone (256) 735-4057
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | lee.gray1969@gmail.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Marion St
Suite B
Athens, AL 35611-2552
Phone (256) 230-5280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102412 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aderholt Medical, LLC | Single Specialty | Current | Accepting new patients |
| Daily Medical, LLC | Single Specialty | Current | Accepting new patients |
| Med Plus, Inc | Single Specialty | Past | Accepting new patients |
Locations
111 S Marion St
Athens, AL 35611
Phone (256) 230-5280
111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280
1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280
105 Fire Station Rd
Baileyton, AL 35019
Phone (256) 735-4057
Interoperability endpoints
- charles.gray@dailymed.directbygreenway.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Baileyton Family Medicine
- Family Nurse Practitioner
- Baileyton, AL
- NPI 1164996757
Single Specialty
-
dba Med Plus Florence
- Family Medicine Physician
- Florence, AL
- NPI 1164408571
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Decatur Morgan Hospital-Decatur Campus
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
-
dba Athens Limestone Hospital
- General Acute Care Hospital
- Athens, AL
- NPI 1144695081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1144801143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FIRE STATION RD",
"city": "BAILEYTON",
"state": "AL",
"postal_code": "350199609",
"telephone_number": "256-735-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FIRE STATION RD",
"city": "BAILEYTON",
"state": "AL",
"postal_code": "350199609",
"telephone_number": "256-735-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CHARLES",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-102412",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "lee.gray1969@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "105 Fire Station Rd",
"city": "Baileyton",
"state": "AL",
"country_code": "US",
"postal_code": "350199609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baileyton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.