Active NPI
William Lee Grey, DO
- Pediatrics Physician
- Georgetown, KY
National Provider Identifier
1316470271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 04800
- Practice address
- 1162 Lexington Rd
Georgetown, KY 40324-9330 - Phone
- (502) 863-6426
- Fax
- (502) 868-4724
- NPI assigned
- Apr 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | TP280 | KY | |
| Pediatrics Physician | 208000000X | R4411 | KY | |
| Hospitalist Physician | 208M00000X | TP280 | KY | |
| Hospitalist Physician | 208M00000X | 04800 | KY | |
| Pediatrics Physician | 208000000X | 04800 | KY | Primary |
Addresses
Primary practice location
1162 Lexington Rd
Georgetown, KY 40324-9330
Mailing address
1162 Lexington Rd
Georgetown, KY 40324-9330
Phone (502) 863-6426
Other practice location 1
2400 Greatstone Pt
Lexington, KY 40504-3274
Phone (859) 323-1315
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4411 | KY | MD | Pediatrics Physician |
| 04800 | KY | MD | Hospitalist Physician |
| TP280 | KY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Medical Services Foundation, Inc | Pediatrics | Current | Accepting new patients |
| Georgetown Community Hospital LLC | Past | Accepting new patients |
Locations
1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
Interoperability endpoints
- wgrey24882@ukhcdirect.org
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.
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1326091448
Pediatrics
-
- Rural Acute Care Hospital
- Georgetown, KY
- NPI 1326107319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1316470271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 LEXINGTON RD",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249330",
"telephone_number": "502-863-6426",
"fax_number": "502-868-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 LEXINGTON RD",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403249330",
"telephone_number": "502-863-6426",
"fax_number": "502-868-4724"
}
],
"practiceLocations": [
{
"address_1": "2400 Greatstone Pt",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043274",
"country_code": "US",
"telephone_number": "859-323-1315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREY",
"first_name": "WILLIAM",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "TP280",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "R4411",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "TP280",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "04800",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "04800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.