Susan Thomas Gray, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

15936 Issued in TN

Practice address

1394 Hatcher LN
Columbia, TN 38401-3568

Phone

(931) 380-1030

Fax

(931) 380-1063

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649340225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013568",
            "telephone_number": "931-380-1030",
            "fax_number": "931-380-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013568",
            "telephone_number": "931-380-1030",
            "fax_number": "931-380-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "SUSAN",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "15936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Graubner
• Abby Graves, MS, RD, LDN, CLC
• Gina B Graves, N.P.
• Amanda Gale Gray, R.D.
• Jennifer Gray
• Teresa Dianne Gray, RN
• Jody Allison Green, LCSW
• Kylie Green
• Penny M Green, CRNA
• Katherine Clayton Greenwell, PA-C

• Gynecology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Gynecology Physician in Tennessee

• 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.