Individual provider Active NPI

Joshua Van Gray, RN

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1174997555
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-138849 Issued in AL
Practice address
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone
(251) 410-3600
NPI assigned
Nov 22, 2015
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-138849 AL Primary

Addresses

Primary practice location

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162

Mailing address

3719 Dauphin St
Mobile, AL 36608-1753
Phone (251) 454-0685

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
I20160114002314 AL Practitioner - Nurse Practitioner 9133422777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopaedic Group PCGroup PAC ID 2264331826, 67 clinicians
Baldwin Emergency Physicians, P.C..Group PAC ID 4688627946, 52 clinicians

Practice addresses (Care Compare)

6144 Airport Blvd
Mobile, AL 36608-3143
Phone (251) 476-5050

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 928-2375

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Baldwin Emergency Physicians, P.C.. CurrentSince Dec 1, 2017 Accepting new patients
The Orthopaedic Group, PC CurrentSince Apr 1, 2025 Accepting new patients
Springhill Emergency Physicians, PC CurrentSince Jan 1, 2016 Accepting new patients
Alabama Orthopaedic Clinics, PC Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

Interoperability endpoints

  • Direct secure messaging: jgray@tog1813.srs-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1174997555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081753",
            "telephone_number": "251-454-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SPRINGHILL MEMORIAL DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081162",
            "telephone_number": "251-410-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOSHUA",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-22",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-138849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.