Active NPI
Gray Urology Wellness LLC
- Urology Physician
- Cullman, AL
National Provider Identifier
1346046695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GRAY UROLOGY WELLNESS LLC
- Practice address
- 1985 Al Highway 157 Ste B
Cullman, AL 35058-1124 - Phone
- (256) 300-2595
- Fax
- (256) 302-8055
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Burdette-Gray, CRNP
- Title
- Owner/CRNP
- Phone
- (256) 300-2595
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1985 Al Highway 157 Ste B
Cullman, AL 35058-1124
Mailing address
1985 Al Highway 157 Ste B
Cullman, AL 35058-1124
Phone (256) 300-2595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251105002424 | AL | Part B Supplier - Clinic/Group Practice | 8325538697 |
Receives reassigned benefits from 1 practitioner Practice locations: Cullman, AL |
National Provider Directory
National Provider DirectoryLocations
1985 AL Highway 157
Ste B
Cullman, AL 35058
Phone (256) 300-2595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1346046695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1985 AL HIGHWAY 157 STE B",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581124",
"telephone_number": "256-300-2595",
"fax_number": "256-302-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1985 AL HIGHWAY 157 STE B",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581124",
"telephone_number": "256-300-2595",
"fax_number": "256-302-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAY UROLOGY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "BURDETTE-GRAY",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER/CRNP",
"authorized_official_telephone_number": "256-300-2595",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.