Individual provider Active NPI

Annmarie H Gray, FNP-BC

  • Family Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1417298845
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00415000 Issued in NJ
Practice address
30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322
Phone
(732) 542-0002
Fax
(732) 542-2992
NPI assigned
Mar 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00415000 NJ Primary

Addresses

Primary practice location

30 Shrewsbury PLZ
Shrewsbury, NJ 07702-4322

Mailing address

PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202000484 TN Practitioner - Nurse Practitioner 3375789688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

1025 Executive Dr
Suite 100
Hixson, TN 37343-7917
Phone (423) 870-2030

1200 Pineville Rd
Chattanooga, TN 37405-2645
Phone (423) 265-0063

16931 Rankin Ave
Suite B100
Dunlap, TN 37327-7029
Phone (423) 949-2000

251 N Lyerly St
Suite 300
Chattanooga, TN 37404-2743
Phone (423) 648-7770

2600 Taft Hwy
Suite 100
Signal Mountain, TN 37377-2777
Phone (423) 778-9434

7380 Volkswagen Dr
Suite 110
Chattanooga, TN 37416-1761
Phone (423) 778-8950

975 E 3Rd St
Chattanooga, TN 37403-2147

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00415000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 13, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 13, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Erlanger Health CurrentSince Jul 1, 2023 Accepting new patients
Ima Urgent Care Past Accepting new patients

Locations

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

7380 Volkswagen Dr
Ste 110
Chattanooga, TN 37416
Phone (423) 778-8950

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

9448 Dayton Pike
Soddy Daisy, TN 37379
Phone (423) 778-5445

Interoperability endpoints

  • Direct secure messaging: annemarie.gray@ima.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1417298845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8519",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077018519",
            "telephone_number": "732-460-9840",
            "fax_number": "732-460-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHREWSBURY PLZ",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024322",
            "telephone_number": "732-542-0002",
            "fax_number": "732-542-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ANNMARIE",
        "middle_name": "H",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00415000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.