Individual provider Active NPI

Carrie Nicole Gray, D.O.

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1740690916
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017215 Issued in OH
Practice address
2030 Stringtown Rd Ste 300
Grove City, OH 43123-3993
Phone
(614) 544-0101
Fax
(614) 544-0102
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO.1542 AL
Family Medicine Physician 207Q00000X 34.017215 OH Primary

Addresses

Primary practice location

2030 Stringtown Rd Ste 300
Grove City, OH 43123-3993

Mailing address

PO Box 7527
Columbus, OH 43207-0527
Phone (614) 544-0101

Other practice location 1

1851 N McKenzie St Ste 101
Foley, AL 36535-4703
Phone (251) 424-1232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carrie.gray.1@1599.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210630001205 AL Practitioner - Family Practice 4688984610 Reassigns benefits to 2 organizations
I20240805003865 OH Practitioner - Family Practice 4688984610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2030 Stringtown Rd
Suite 300
Grove City, OH 43123-3993
Phone (614) 544-0101

Hospital & facility affiliations

  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.1542ALMDFamily Medicine Physician
34.017215OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 1, 2024 Accepting new patients
Franklin Primary Health Center, Inc Family Medicine CurrentSince Jan 23, 2024 Accepting new patients
Franklin Primary Health Center Inc. Family Medicine CurrentSince Jan 23, 2024 Accepting new patients
Foley Clinic Corp Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Foley Clinic Corp CurrentSince Aug 1, 2021 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

1851 N McKenzie St
Ste 101
Foley, AL 36535
Phone (251) 424-1232

1851 N McKenzie St
Ste 200
Foley, AL 36535
Phone (251) 424-1232

101 E 15th Ave
Gulf Shores, AL 36542
Phone (251) 962-1250

1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

2030 Stringtown Rd
Ste 300
Grove City, OH 43123
Phone (614) 544-0101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
  • Direct secure messaging: cgray687100@direct.ochin.org

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.

Hospital & facility affiliations 4

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1740690916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432070527",
            "telephone_number": "614-544-0101",
            "fax_number": "614-544-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 STRINGTOWN RD STE 300",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233993",
            "telephone_number": "614-544-0101",
            "fax_number": "614-544-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1851 N McKenzie St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365354703",
            "country_code": "US",
            "telephone_number": "251-424-1232",
            "fax_number": "251-424-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CARRIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1542",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.gray.1@1599.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1851 N McKenzie St Ste 101",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365354703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.