Individual provider Active NPI

Michael Kevin Gray, M.D.

  • Ophthalmology Physician
  • Florence, AL
National Provider Identifier
1457322877
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
00018908 Issued in AL
Practice address
646 Cox Creek Pkwy
Suite a
Florence, AL 35630-1105
Phone
(256) 760-1771
Fax
(256) 760-9149
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD0000024535 TN
Ophthalmology Physician 207W00000X 00018908 AL Primary

Addresses

Primary practice location

646 Cox Creek Pkwy
Suite a
Florence, AL 35630-1105

Mailing address

646 Cox Creek Pkwy
Suite a
Florence, AL 35630-1105
Phone (256) 760-1771

Other identifiers 1

IdentifierTypeStateIssuer
051507889MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120111000655 AL Practitioner - Ophthalmology 3779690292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Ophthalmology LLCGroup PAC ID 7911924238, 6 clinicians

Practice addresses (Care Compare)

646 Cox Creek Pkwy
Suite a
Florence, AL 35630-1189
Phone 2567601771105

Merit-based Incentive Payment System (MIPS)

Final score
80.95 of 100Reported as group
Quality
95.47
Improvement activities
40
Cost
42.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018908ALMDOphthalmology Physician
MD0000024535TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Ophthalmology LLC Ophthalmology CurrentSince May 29, 2002 Accepting new patients
Florence Ophthalmology LLC Ophthalmology CurrentSince Aug 1, 2002 Accepting new patients

Locations

646 Cox Creek Pkwy
Ste A
Florence, AL 35630
Phone (256) 760-1771

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1457322877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 COX CREEK PKWY",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301105",
            "telephone_number": "256-760-1771",
            "fax_number": "256-760-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 COX CREEK PKWY",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301105",
            "telephone_number": "256-760-1771",
            "fax_number": "256-760-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000024535",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "00018908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051507889",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.