Active NPI
James A Gray, M.D.
- Family Medicine Physician
- Fayetteville, TN
National Provider Identifier
1497869259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31859
- Practice address
- 108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741 - Phone
- (931) 438-4111
- Fax
- (866) 258-0817
- NPI assigned
- Aug 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31859 | TN | Primary |
Addresses
Primary practice location
108 Medical Center Blvd
Suite G-50
Fayetteville, TN 37334-2741
Mailing address
108 Medical Center Blvd
# G50
Fayetteville, TN 37334-2741
Phone (931) 438-4111
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89009847 | Other | AL | BCBS AL |
| 3850808 | Medicaid | TN | |
| 4015743 | Other | TN | BCBS TN |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31859 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkway Medical Group, PC | Family Medicine | Current | Accepting new patients |
Interoperability endpoints
- jamesgray@parkwaymg.allscriptsdirect.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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
- Fayetteville, TN
- NPI 1285748962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1497869259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "# G50",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-438-4111",
"fax_number": "866-258-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 MEDICAL CENTER BLVD",
"address_2": "SUITE G-50",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373342741",
"telephone_number": "931-438-4111",
"fax_number": "866-258-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JAMES",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "31859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AL",
"identifier": "89009847",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3850808",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4015743",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.