Individual provider Active NPI

Amber Gayle Gray, APN

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1215466735
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34429 Issued in TN
Practice address
374 Brink St
Lawrenceburg, TN 38464-3280
Phone
(931) 762-6548
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34429 TN Primary

Addresses

Primary practice location

374 Brink St
Lawrenceburg, TN 38464-3280

Mailing address

2717 E Oakland Ave
Johnson City, TN 37601-1843
Phone (423) 926-2358

Other names 1

  • Amber Eaton Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231023002203 TN Practitioner - Nurse Practitioner 1759737042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34429TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renuven Aco PLLC CurrentSince Jun 18, 2025 Accepting new patients
Integrated Health Transitions, PLLC CurrentSince Aug 11, 2023 Accepting new patients
Renuven Health Partners of Georgia PC Past Accepting new patients

Locations

3209 Bristol Hwy
Johnson City, TN 37601
Phone (423) 282-3311

3107 W Market St
Ste 5
Johnson City, TN 37604
Phone (423) 979-0000

374 Brink St
Lawrenceburg, TN 38464
Phone (931) 762-6548

2350 Buffalo Rd
Lawrenceburg, TN 38464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1215466735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 E OAKLAND AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011843",
            "telephone_number": "423-926-2358",
            "fax_number": "423-926-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 BRINK ST",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643280",
            "telephone_number": "931-762-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "AMBER",
        "middle_name": "GAYLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "EATON",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.