Organization Active NPI

Gray Urology Wellness LLC

  • Urology Physician
  • Cullman, AL
National Provider Identifier
1346046695
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on May 20, 2026

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

Authorized official

Name
Amy Burdette-Gray, CRNPNPI 1962829689
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20251105002424 AL Part B Supplier - Clinic/Group Practice 8325538697 Receives reassigned benefits from 1 practitioner
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.