Individual provider Active NPI

Allison Tucker Gray, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1396109534
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101269797 Issued in VA
Practice address
6600 W Broad St Ste 100
Richmond, VA 23230-1709
Phone
(804) 288-4084
Fax
(804) 282-8678
NPI assigned
Apr 13, 2016
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X 0101269797 VA Primary

Addresses

Primary practice location

6600 W Broad St Ste 100
Richmond, VA 23230-1709

Mailing address

7130 Glen Forest Dr Ste 101
Richmond, VA 23226-3754
Phone (804) 288-4084

Other practice location 1

1250 E Marshall St
Box 980034
Richmond, VA 23298-5051
Phone (804) 828-9360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908002919 VA Practitioner - Obstetrics/Gynecology 4183919426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Eastern Virginia Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084

13801 St Francis Blvd
Suite 100
Midlothian, VA 23114-3206
Phone (804) 288-4084

6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087

7515 Right Flank Rd
Mechanicsville, VA 23116-3818
Phone (804) 288-4084

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101269797VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Jun 27, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 27, 2020 Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

6600 W Broad St
Ste 100
Richmond, VA 23230
Phone (804) 288-4087

Interoperability endpoints

  • Direct secure messaging: allison.gray.1@8042.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1396109534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W BROAD ST STE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301709",
            "telephone_number": "804-288-4084",
            "fax_number": "804-282-8678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Marshall St",
            "address_2": "Box 980034",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985051",
            "country_code": "US",
            "telephone_number": "804-828-9360",
            "fax_number": "804-828-2448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ALLISON",
        "middle_name": "TUCKER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101269797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.