Active NPI
Gray Lyon Garrett, CRNP
- Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-097461
- Practice address
- 251 N Bayou St
Mobile, AL 36603-5827 - Phone
- (251) 690-8158
- Fax
- (251) 544-2188
- NPI assigned
- Jul 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-097461 | AL | Primary |
Addresses
Primary practice location
251 N Bayou St
Mobile, AL 36603-5827
Mailing address
PO Box 2867
Mobile, AL 36652-2867
Phone (251) 690-8158
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063439065 | Other | AL | SITE GROUP PAYEE NUMBER |
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| 630000013 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-097461 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| Escambia County Health Care Authority | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Current | Accepting new patients | |
| Escambia County Health Care Authority | Current | Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current | Accepting new patients | |
| Gmuc of Springhill LLC | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Current | Accepting new patients |
Locations
1108 Douglas Ave
Brewton, AL 36426
Phone (251) 867-1711
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123
174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456
4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123
2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123
1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123
7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/a7b7f339-eea5-408f-8f14-ad4341b10c45/
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Flomaton, AL
- NPI 1497852735
-
- Multi-Specialty Clinic/Center
- Brewton, AL
- NPI 1679196927
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Brewton, AL
- NPI 1306101639
-
- Family Medicine Physician
- Brewton, AL
- NPI 1710265418
-
- Family Medicine Physician
- Mobile, AL
- NPI 1952617508
-
- Family Medicine Physician
- Semmes, AL
- NPI 1275848095
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801063938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245715200000",
"number": "1720244841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2867",
"city": "MOBILE",
"state": "AL",
"postal_code": "366522867",
"telephone_number": "251-690-8158",
"fax_number": "251-544-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N BAYOU ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366035827",
"telephone_number": "251-690-8158",
"fax_number": "251-544-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "GRAY",
"middle_name": "LYON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2009-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-097461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SITE GROUP PAYEE NUMBER",
"identifier": "1063439065",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PAYEE NUMBER",
"identifier": "011846",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630000013",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.