Individual provider Active NPI

Jayme Gray

  • Family Nurse Practitioner
  • Panhandle, TX
National Provider Identifier
1700629136
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1171185 Issued in TX
Practice address
102 US Highway 60
Panhandle, TX 79068-7200
Phone
(806) 532-2273
NPI assigned
Jun 14, 2024
Last updated
Aug 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 820065 TX
Family Nurse Practitioner 363LF0000X 1171185 TX Primary

Addresses

Primary practice location

102 US Highway 60
Panhandle, TX 79068-7200

Mailing address

1016 S Rusk St
Amarillo, TX 79102-1323
Phone (806) 640-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240906003047 TX Practitioner - Nurse Practitioner 0941740716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Family Physicians Clinic, P.a.Group PAC ID 2163518390, 14 clinicians

Practice addresses (Care Compare)

1215 S Coulter
Suite 100
Amarillo, TX 79106-1761

1215 S Coulter St
Amarillo, TX 79106-1761
Phone (806) 359-4701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
820065TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Family Care LLC CurrentSince Jun 16, 2024 Accepting new patients
Panhandle Family Care LLC CurrentSince Aug 13, 2024 Accepting new patients
Amarillo Family Physicians Clinic, P.a. CurrentSince Dec 30, 2024 Accepting new patients

Locations

1215 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-4701

7561 Outlook Dr
Amarillo, TX 79106
Phone (806) 359-4701

1600 S FM 2381
Bushland, TX 79124
Phone (806) 310-9853

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jaymegray@afpcpa.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1700629136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S RUSK ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791021323",
            "telephone_number": "806-640-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 US HIGHWAY 60",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "790687200",
            "telephone_number": "806-532-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAYME",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "820065",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1171185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panhandle, TX

Sources for this page

Verify at the official NPI Registry.