Individual provider Active NPI

Jody Scott Gray, D.C.

  • Chiropractor
  • Trussville, AL
National Provider Identifier
1215086103
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1151 Issued in AL
Practice address
7101 Happy Hollow Rd Ste 205
Trussville, AL 35173-2545
Phone
(205) 868-3741
Fax
(205) 967-0408
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1151 AL Primary

Addresses

Primary practice location

7101 Happy Hollow Rd Ste 205
Trussville, AL 35173-2545

Mailing address

3153 Cahaba Heights Rd
Vestavia, AL 35243-5246
Phone (205) 940-4695

Other practice location 1

52 Medical Park Dr E
Suite 219
Birmingham, AL 35235-3430
Phone (205) 868-3741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160309000103 AL Practitioner - Chiropractic 4183659014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Pillar Trussville LLCGroup PAC ID 0446794820, 2 clinicians

Practice addresses (Care Compare)

7101 Happy Hollow Rd
Suite 205
Trussville, AL 35173-2545
Phone (205) 537-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1151ALMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pillar Trussville LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Central Alabama Spine & Rehab Chiropractor PastSince Sep 29, 2005 Accepting new patients

Locations

7101 Happy Hollow Rd
Ste 205
Trussville, AL 35173
Phone (205) 537-7463

3153 Cahaba Heights Rd
Vestavia, AL 35243
Phone (205) 537-7463

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1215086103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 CAHABA HEIGHTS RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435246",
            "telephone_number": "205-940-4695",
            "fax_number": "205-967-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 HAPPY HOLLOW RD STE 205",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732545",
            "telephone_number": "205-868-3741",
            "fax_number": "205-967-0408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Medical Park Dr E",
            "address_2": "Suite 219",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353430",
            "country_code": "US",
            "telephone_number": "205-868-3741",
            "fax_number": "205-868-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JODY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.