Individual provider Active NPI

Buffy Gray, NP

  • Family Nurse Practitioner
  • Baileyton, AL
National Provider Identifier
1609551563
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-075958 Issued in AL
Practice address
105 Fire Station Rd
Baileyton, AL 35019-9609
Phone
(256) 735-4057
NPI assigned
Jun 19, 2023
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-075958 AL Primary

Addresses

Primary practice location

105 Fire Station Rd
Baileyton, AL 35019-9609

Mailing address

105 Fire Station Rd
Baileyton, AL 35019-9609
Phone (256) 735-4057

Other practice location 1

2908 Mall Rd
Florence, AL 35630-1641
Phone (256) 767-2702

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001735 AL Practitioner - Nurse Practitioner 4082052493 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aderholt Medical, LLC CurrentSince Jul 1, 2024 Accepting new patients
Daily Medical, LLC Family CurrentSince Mar 13, 2024 Accepting new patients

Locations

111 S Marion St
Athens, AL 35611
Phone (256) 230-5280

111 S Marion St
Ste B
Athens, AL 35611
Phone (256) 230-5280

1207 E Forrest St
Ste 204D
Athens, AL 35613
Phone (256) 230-5280

105 Fire Station Rd
Baileyton, AL 35019
Phone (256) 735-4057

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1609551563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FIRE STATION RD",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350199609",
            "telephone_number": "256-735-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIRE STATION RD",
            "city": "BAILEYTON",
            "state": "AL",
            "postal_code": "350199609",
            "telephone_number": "256-735-4057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356301641",
            "country_code": "US",
            "telephone_number": "256-767-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "BUFFY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-075958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baileyton, AL

Sources for this page

Verify at the official NPI Registry.