Active NPI
Stacy Chapman Gray, D.C.
- Chiropractor
- Raleigh, NC
National Provider Identifier
1811909120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2200
- Practice address
- 4908 Professional CT
Raleigh, NC 27609-4914 - Phone
- (919) 850-2440
- Fax
- (919) 850-2441
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2200 | NC | Primary |
Addresses
Primary practice location
4908 Professional CT
Raleigh, NC 27609-4914
Mailing address
4908 Professional CT
Raleigh, NC 27609-4914
Phone (919) 850-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890859F | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4908 Professional Court
Raleigh, NC 27609-4914
4908 Professional CT
Raleigh, NC 27609-4914
Phone (919) 850-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2200 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gray Family Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
Locations
4908 Professional Ct
Raleigh, NC 27609
Phone (919) 850-2440
Organizations & group practices 1
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.
-
- Chiropractor
- Raleigh, NC
- NPI 1710076302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1811909120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4908 PROFESSIONAL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094914",
"telephone_number": "919-850-2440",
"fax_number": "919-850-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4908 PROFESSIONAL CT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094914",
"telephone_number": "919-850-2440",
"fax_number": "919-850-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "STACY",
"middle_name": "CHAPMAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890859F",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.