Individual provider Active NPI

Brandi Sharp Ray

  • Adult Health Nurse Practitioner
  • Florence, AL
National Provider Identifier
1831633403
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-138777 Issued in AL
Practice address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone
(256) 718-3200
Fax
(256) 246-3297
NPI assigned
Dec 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-138777 AL
Adult Health Nurse Practitioner 363LA2200X 1-138777 AL Primary

Addresses

Primary practice location

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 718-3200

Other identifiers 1

IdentifierTypeStateIssuer
1-138777OtherALMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218002172 AL Practitioner - Nurse Practitioner 5294012506 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Mobile, PC 33 clinicians
North Alabama Bone and Joint Clinic P C 18 clinicians
Athens-Limestone ER Physicians 17 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

1751 Veterans Dr
Suite 300
Florence, AL 35630-4930
Phone (256) 718-3200

700 W Market St
Athens, AL 35611-2457
Phone (256) 233-9292

Hospital & facility affiliations

  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-138777ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
BKG Medical LLC CurrentSince Jul 3, 2024 Accepting new patients
North Alabama Bone & Joint Clinic P C CurrentSince Aug 1, 2022 Accepting new patients
Med Plus, Inc CurrentSince Jan 1, 2020 Accepting new patients
North Alabama Bone & Joint Clinic P C CurrentSince Aug 1, 2022 Accepting new patients
Athens-Limestone ER Physicians CurrentSince Aug 11, 2021 Accepting new patients
Emergency Services of Mobile PC CurrentSince Oct 21, 2024 Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200

2908 Mall Rd
Florence, AL 35630
Phone (256) 767-2702

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1910 Veterans Dr
Florence, AL 35630
Phone (256) 718-3200

104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490

Interoperability endpoints

  • Direct secure messaging: brandi.ray@nabjc.emadirect.md

Organizations & group practices 6

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 3

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1831633403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-718-3200",
            "fax_number": "256-246-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "BRANDI",
        "middle_name": "SHARP",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-138777",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-138777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "1-138777",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.