Individual provider Active NPI

Charles Jackson Wray, M.D.

  • Pulmonary Disease Physician
  • Nashville, TN
National Provider Identifier
1285662148
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
37637 Issued in TN
Practice address
330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534
Phone
(615) 342-5900
Fax
(615) 342-6087
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37637 TN
Pulmonary Disease Physician 207RP1001X 37637 TN Primary

Addresses

Primary practice location

330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534

Mailing address

330 23Rd Ave N
Suite 500
Nashville, TN 37203-1534
Phone (615) 342-5900

Other identifiers 1

IdentifierTypeStateIssuer
7100021660MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CHARLES.WRAY@hca1.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070821000192 TN Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3870596208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

2400 Patterson St
Suite 400
Nashville, TN 37203-1575
Phone (615) 342-5900

302 N Congress Blvd
Smithville, TN 37166-2704
Phone (615) 342-5900

330 23Rd N Ave
Suite 500
Nashville, TN 37203-1661
Phone (615) 342-5900

481 Interstate Dr
Manchester, TN 37355-3108
Phone (615) 342-5900

585 Interstate Dr
Suite B
Manchester, TN 37355-3191
Phone (615) 342-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100Reported as group
Quality
70.32
Promoting interoperability
100
Improvement activities
40
Cost
69.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37637TNMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Medical Group - the Frist Clinic Inc Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients
Select Specialty Hospital - Nashville LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

481 Interstate Dr
Manchester, TN 37355
Phone (931) 728-3586

2400 Patterson St
Ste 400
Nashville, TN 37203
Phone (615) 342-5941

330 23rd Ave N
Ste 500
Nashville, TN 37203

302 N Congress Blvd
Smithville, TN 37166
Phone (615) 597-4395

Interoperability endpoints

  • Direct secure messaging: charles.wray@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 7

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1285662148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 23RD AVE N",
            "address_2": "SUITE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031534",
            "telephone_number": "615-342-5900",
            "fax_number": "615-342-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "CHARLES",
        "middle_name": "JACKSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "37637",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "37637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100021660",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CHARLES.WRAY@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 23rd Ave N",
            "address_2": "SUITE 500",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372031534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.