Randall Coleman Gray, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8293 Issued in TX

Practice address

2114 State Highway 155
Palestine, TX 75803-8606

Phone

(903) 729-3772

Fax

(903) 723-0920

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• A Chiropractor on Hwy 155, Inc

  • Chiropractor
  • Palestine, TX
  • NPI 1982734851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750372009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038606",
            "telephone_number": "903-729-3772",
            "fax_number": "903-723-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 STATE HIGHWAY 155",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758038606",
            "telephone_number": "903-729-3772",
            "fax_number": "903-723-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "RANDALL",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS #",
            "identifier": "0035HF",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL BCBS #",
            "identifier": "8B2724",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DRIVER'S LICENSE",
            "identifier": "13594548",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "DC 8293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel M Gold, M.D.
• Mark Gold, M.D.
• Glen Ray Goldsmith, M.D.
• Holly Gonzalez, LPC
• James Eric Gooch, LPC
• Jo Baxter Green, PHD
• Michelle Lee Green, FNP
• Kristi L Grimsley, PT
• Morgan Ryan Grimsley, MOT
• Ro-Jon Allen Grogans, M.D.

• Chiropractor in Palestine, TX
• Providers in Palestine, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.