NPIMap

Individual provider Active NPI

Julie Roach Gray, N.P.

  • Women's Health Nurse Practitioner
  • Talbott, TN
National Provider Identifier
1336368307
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0000012667 Issued in TN
Practice address
6350 West Andrew Johnson Highway
Talbott, TN 37877
Phone
(423) 714-2200
Fax
(423) 586-0614
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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.

View all 22

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherokee Health Systems 128 clinicians

Practice addresses (Care Compare)

6350 W Andrew Johnson Hwy
Dept 100
Talbott, TN 37877-8605
Phone (423) 586-5031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000692 TN Practitioner - Nurse Practitioner 2769662097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000012667TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Apr 7, 2022 Accepting new patients
Cherokee Health Systems CurrentSince Apr 7, 2022 Accepting new patients
Cherokee Health Systems Past Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
Talbott, TN 37877
Phone (423) 586-5031

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Interoperability endpoints

  • Direct secure messaging: julie.gray.p1@direct.cherokeehealth.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0000012667 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

6350 West Andrew Johnson Highway
Talbott, TN 37877

Mailing address

4050 Rutledge Pike
Blaine, TN 37709-5006
Phone (865) 828-5092

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1521656MedicaidTN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address julie.gray.p1@direct.cherokeehealth.nextgenshare.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2020.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1336368307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RUTLEDGE PIKE",
            "city": "BLAINE",
            "state": "TN",
            "postal_code": "377095006",
            "telephone_number": "865-828-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 WEST ANDREW JOHNSON HIGHWAY",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "37877",
            "telephone_number": "423-714-2200",
            "fax_number": "423-586-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JULIE",
        "middle_name": "ROACH",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "0000012667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521656",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.gray.p1@direct.cherokeehealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Message Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message Address",
            "address_1": "6350 West Andrew Johnson Highway",
            "city": "Talbott",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

Verify at the official NPI Registry.