Gray Station Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

34373 Issued in TN

Legal business name

GRAY STATION NEUROLOGY, PC

Practice address

5583 Bobby Hicks Hwy
Suite 209
Gray, TN 37615-3281

Phone

(423) 467-4240

Fax

(423) 467-4260

NPI assigned

Jan 9, 2012

Last updated

Jan 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley J Kincheloe

Title

Billing Manager

Phone

(423) 467-4240

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3537/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Douglas A Wright, M.D.

  • Neurology Physician
  • Kingsport, TN
  • NPI 1376644708
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1689944563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5583 BOBBY HICKS HWY",
            "address_2": "SUITE 209",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376153281",
            "telephone_number": "423-467-4240",
            "fax_number": "423-467-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5583 BOBBY HICKS HWY",
            "address_2": "SUITE 209",
            "city": "GRAY",
            "state": "TN",
            "postal_code": "376153281",
            "telephone_number": "423-467-4240",
            "fax_number": "423-467-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY STATION NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "KINCHELOE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "423-467-4240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "34373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gray Family Clinic PLC
• Gray Family Healthcare PC
• Gray Medical Investors, LLC (Life Care Center of Gray)
• Gray Pharmacy (Gray Respiratory and Home Care Services)
• Gray Station Dental PLLC
• Matthew J Grimm, FNP-BC
• Hall Family Chiropractic Center
• Ricky Hall
• Amanda D Hamby, CPHT
• Elizabeth A Hamm

• Neurology Physician in Gray, TN
• Providers in Gray, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.