Keith Martin Grayam

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

6125 Cherry Hill Cir
Pace, FL 32571-9213

Phone

(931) 626-5675

NPI assigned

May 30, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tommy GS Place LLC

  • Developmentally Disabled Services Day Training Agency
  • Pace, FL
  • NPI 1205720349

  Day Training, Developmentally Disabled Services

  NPD

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1669365482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 CHERRY HILL CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719213",
            "telephone_number": "931-626-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 CHERRY HILL CIR",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719213",
            "telephone_number": "931-626-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYAM",
        "first_name": "KEITH",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Alan Gilmore, MD
• Robert Gipson
• Julia M Godbehere, OTR/L
• Danyetta Godwin, RMHCI
• Courtney Gongwer, LMHC
• Heather A Green, PHARMD
• Growing Child Pediatrics
• Gulf Coast Orthopedic Specialists PA
• Gulf Coast Pain Consultants LLC
• Karen Hagerott, PHD

• All providers in Pace, FL
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.