John William Gray III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6693 Issued in SC

Practice address

116 Old Jericho Rd
Beaufort, SC 29902-5119

Phone

(843) 524-0255

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Beaufort County Memorial Hospital

  • Obstetrics & Gynecology Physician
  • Beaufort, SC
  • NPI 1235552746
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497885990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OLD JERICHO RD",
            "address_2": "PO BOX 4037",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29903",
            "telephone_number": "843-524-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 OLD JERICHO RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025119",
            "telephone_number": "843-524-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "6693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia S Graham, CRDH
• Rachael Celeste Graham
• Ryne Andrew Graham, PA-C
• Lauren Grater
• Gravity Physical Therapy, Inc.
• Roger C Gray, LAC, MAC, CCS, ADCII
• Kevin O'Shea Green Sr., PTA, MLDT
• Jessica Greene, PTA
• Tristan Greenwalt, DMD
• Lora Grieco, LCSW

• Family Medicine Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.