Sharmane Marie Gray, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

84917 Issued in GA

Practice address

1572 Ga 85
Ste 209
Fayetteville, GA 30214-1998

Phone

(470) 402-9409

Fax

(470) 558-2898

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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.

• Beaver Medical Group P C

  • Family Medicine Physician
  • Redlands, CA
  • NPI 1649503319

  CA, Family Medicine

  Medicare reassignment NPD
• Holts Healthcare PC

  • Family Nurse Practitioner
  • Fayetteville, GA
  • NPI 1073146023
  NPD
• Beaver Medical Group P C

  • Physical Therapist
  • Redlands, CA
  • NPI 1427090281
  NPD
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Grass Valley, CA
  • NPI 1043456106
  NPD
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  NPD
• Holts Healthcare PC

  • Nurse Practitioner
  • Fayetteville, GA
  • NPI 1447837372

  Family Medicine

  NPD (past)
• Catholic Healthcare West

  • Institutional Pharmacy
  • Red Bluff, CA
  • NPI 1265472914
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  NPD (past)
• Dignity Health

  • Rural Health Clinic/Center
  • Corning, CA
  • NPI 1609246461
  NPD (past)
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Rancho Cordova, CA
  • NPI 1568489268
  NPD (past)
• HMC Medical Center, LLC

  • Urgent Care Clinic/Center
  • Las Vegas, NV
  • NPI 1194754358
  NPD (past)
• Northeastern Nevada Physician Practices LLC

  • Family Medicine Physician
  • Elko, NV
  • NPI 1730408949

  Family Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA, GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2022.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1477539252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 GA 85",
            "address_2": "STE 209",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141998",
            "telephone_number": "470-402-9409",
            "fax_number": "470-558-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 GA 85",
            "address_2": "STE 209",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141998",
            "telephone_number": "470-402-9409",
            "fax_number": "470-558-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SHARMANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C132774",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "12913",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01054888A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "84917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00867873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Coleman Grant, CCC-SLP
• Kennedy Grant, RBT
• Priscella Grant
• Skylar Rose Grant
• Latoya Gray
• Charlotte Elizabeth Grayson- Mathis, M.D.
• Christa Grayson, CADC-II
• Greater Atlanta Youth Development Corporation
• Greater Georgia Behavioral Health
• Leshundra Green

• All providers in Fayetteville, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.