NPIMap

Organization Active NPI

Gray's Pain Relief Center, LLC

  • Sports Physician Chiropractor
  • Goose Creek, SC
National Provider Identifier
1609051036
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
2771 Issued in SC
Legal business name
GRAY'S PAIN RELIEF CENTER, LLC
Practice address
103C Spring Hall Dr
Goose Creek, SC 29445-5336
Phone
(843) 302-0920
Fax
(843) 302-0925
NPI assigned
Jan 3, 2008
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Christopher J Gray, D.C.C.C.E.P
Title
Doctor of Chiropractic
Phone
(864) 415-8621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 2771 SC Primary

Addresses

Primary practice location

103C Spring Hall Dr
Goose Creek, SC 29445-5336

Mailing address

1151 Deerberry Rd
Hanahan, SC 29410-4760
Phone (864) 415-8621

National Provider Directory

National Provider Directory

Locations

103C Springhall Dr
Goose Creek, SC 29445
Phone (843) 302-0920

122 S Goose Creek Blvd
#B
Goose Creek, SC 29445
Phone (843) 553-2211

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1609051036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DEERBERRY RD",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294104760",
            "telephone_number": "864-415-8621",
            "fax_number": "843-302-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103C SPRING HALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455336",
            "telephone_number": "843-302-0920",
            "fax_number": "843-302-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY'S PAIN RELIEF CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "864-415-8621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C.C.C.E.P"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.