Active NPI
Gray McKay Buchanan
- Clinical Child & Adolescent Psychologist
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 1108
- Practice address
- 155 Academy Ave
Greenwood, SC 29646-3869 - Phone
- (864) 725-4865
- Fax
- (864) 725-4883
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PST00096 | RI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1108 | SC | Primary |
Addresses
Primary practice location
155 Academy Ave
Greenwood, SC 29646-3869
Mailing address
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gbuchanan127895@selfregional.direct-ci.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-7272
155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865
Hospital & facility affiliations
- Self Regional Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PST00096 | RI | MD | Clinical Child & Adolescent Psychologist |
| 1108 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Current | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients |
Locations
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
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.
-
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1386808178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463869",
"telephone_number": "864-725-4865",
"fax_number": "864-725-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463869",
"telephone_number": "864-725-4865",
"fax_number": "864-725-4883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "GRAY",
"middle_name": "MCKAY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": "PST00096",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "SC",
"license": "1108",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gbuchanan127895@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "155 Academy Ave",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296463869",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.