Individual provider Active NPI

Robyn Rarick Gray, NP

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1306221759
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020135 Issued in TN
Practice address
350 BMH Physicians Office BLDG
Maryville, TN 37804-5819
Phone
(865) 982-5044
Fax
(865) 982-5099
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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 APN0000020135 TN Primary

Addresses

Primary practice location

350 BMH Physicians Office BLDG
Maryville, TN 37804-5819

Mailing address

PO Box 4156
Maryville, TN 37802-4156
Phone (865) 273-1752

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
I20151103002710 TN Practitioner - Nurse Practitioner 9032429048 Reassigns benefits to 2 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
Senior Care Partners of East Tennessee PLLCGroup PAC ID 4486801982, 36 clinicians

Practice addresses (Care Compare)

252 Cherokee Professional Park
Maryville, TN 37804-5153
Phone (865) 980-5200

Hospital & facility affiliations

  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as apm
Quality
52.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000020135TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Nephrology Clinic, PLLC CurrentSince Sep 15, 2015 Accepting new patients
Senior Care Partners of East Tennessee, PLLC Family CurrentSince Apr 2, 2019 Accepting new patients
Housecall Primary Care, PLLC PastSince Apr 2, 2019 Accepting new patients

Locations

1869 Crest Rd
Maryville, TN 37804
Phone (865) 984-3030

1812 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0916

252 Cherokee Professional Park
Maryville, TN 37804

350 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 982-5044

Ofc BLDG
350 BMH Physicians
Maryville, TN 37804
Phone (865) 982-5044

Interoperability endpoints

  • Direct secure messaging: rgray872824@direct.ghs.myhfn.org
  • Direct secure messaging: robyn.gray.p2@direct.bmpg.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1306221759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4156",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378024156",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BMH PHYSICIANS OFFICE BLDG",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045819",
            "telephone_number": "865-982-5044",
            "fax_number": "865-982-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBYN",
        "middle_name": "RARICK",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.