Individual provider Active NPI

Harrison M Gray, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1700376407
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63334 Issued in TN
Practice address
2525 Perimeter Place Dr Ste 105
Nashville, TN 37214-3674
Phone
(615) 680-0110
NPI assigned
May 17, 2018
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63334 TN Primary

Addresses

Primary practice location

2525 Perimeter Place Dr Ste 105
Nashville, TN 37214-3674

Mailing address

5000 Crossings Cir Ste 103
Mount Juliet, TN 37122-8591
Phone (615) 680-0110

Other practice location 1

506 N High St
Columbia, TN 38401-2734
Phone (931) 548-8882

Other practice location 2

1405 W Baddour Pkwy Ste 101
Lebanon, TN 37087-2595
Phone (615) 994-1288

Other practice location 3

2839 Highway 231 N Ste 101
Shelbyville, TN 37160-7448
Phone (931) 488-4014

Other practice location 4

8712 Asheville Hwy
Knoxville, TN 37924-4501
Phone (865) 932-3633

Other identifiers 1

IdentifierTypeStateIssuer
Q068712MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512000777 TN Practitioner - Family Practice 4082964895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1512 Hatcher LN
Columbia, TN 38401-4825
Phone (931) 548-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince May 6, 2022 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince May 6, 2022 Accepting new patients

Locations

1512 Hatcher Ln
Columbia, TN 38401
Phone (615) 257-6844

506 N High St
Columbia, TN 38401
Phone (931) 223-5455

8712 Asheville Hwy
Knoxville, TN 37924
Phone (865) 932-3633

1405 W Baddour Pkwy
Ste 101
Lebanon, TN 37087
Phone (615) 257-6844

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

2525 Perimeter Place Dr
Ste 105
Nashville, TN 37214
Phone (615) 257-6844

2839 Highway 231 N
Ste 101
Shelbyville, TN 37160
Phone (931) 488-4014

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1700376407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CROSSINGS CIR STE 103",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228591",
            "telephone_number": "615-680-0110",
            "fax_number": "615-549-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PERIMETER PLACE DR STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143674",
            "telephone_number": "615-680-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384012734",
            "country_code": "US",
            "telephone_number": "931-548-8882",
            "fax_number": "931-223-8717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Baddour Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370872595",
            "country_code": "US",
            "telephone_number": "615-994-1288",
            "fax_number": "615-547-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2839 Highway 231 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371607448",
            "country_code": "US",
            "telephone_number": "931-488-4014",
            "fax_number": "931-735-6885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8712 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379244501",
            "country_code": "US",
            "telephone_number": "865-932-3633",
            "fax_number": "865-932-3316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "HARRISON",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "63334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q068712",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.