Individual provider Active NPI

George Gray III, D.O.

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1790183168
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS14074 Issued in FL
Practice address
2000 38TH Ave
Vero Beach, FL 32960-2451
Phone
(772) 794-2227
Fax
(772) 794-9909
NPI assigned
Dec 16, 2014
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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 OS14074 FL Primary

Addresses

Primary practice location

2000 38TH Ave
Vero Beach, FL 32960-2451

Mailing address

2000 38TH Ave
Vero Beach, FL 32960-2451
Phone (772) 794-2227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20161117001432 FL Practitioner - Family Practice 0547549479 Reassigns benefits to 1 organization
Practice locations: Vero Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

1190 37TH St
Vero Beach, FL 32960-6507
Phone (772) 567-4311

1960 Pointe W Dr
Vero Beach, FL 32966-1302

1960 Pointe W Drive
101 Cleveland Clinic Irh Family Medicine
Vero Beach, FL 32966-1302
Phone (772) 564-7828

2000 38TH Ave
Vero Beach, FL 32960-2451
Phone (772) 794-2227

801 Wellness Way
Sebastian, FL 32958-3783

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14074FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Mar 13, 2019 Accepting new patients
Indian River Health Services Inc CurrentSince Mar 13, 2019 Accepting new patients
George William Gray, III, DO PastSince Jul 3, 2018 Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: george.grayiii@hca4.eclinicaldirectplus.com

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 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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1790183168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227",
            "fax_number": "772-794-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 38TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602451",
            "telephone_number": "772-794-2227",
            "fax_number": "772-794-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "GEORGE",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-16",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS14074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.