Individual provider Active NPI

Cody Barry Gray, CRNP

  • Acute Care Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1831789189
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-128111 Issued in AL
Practice address
1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194
Phone
(256) 485-0899
Fax
(866) 265-9563
NPI assigned
Jan 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-128111 AL Primary

Addresses

Primary practice location

1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194

Mailing address

1026 Goodyear Ave Ste 302B
Gadsden, AL 35903-1194
Phone (256) 485-0899

Other practice location 1

2055 E South Blvd Ste 708
Montgomery, AL 36116-2014
Phone (334) 457-7212

Other practice location 2

7938 Al Highway 69 Ste 360
Guntersville, AL 35976-7177
Phone (256) 485-0899

Other practice location 3

70 Plaza Dr
Pell City, AL 35125-9314
Phone (256) 485-0899

Other practice location 4

2525 US Highway 431 Ste 270
Boaz, AL 35957-5934
Phone (256) 485-0899

Other practice location 5

2001 Cades Ave SW
Fort Payne, AL 35968-3554
Phone (256) 485-0899

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
I20210722003564 AL Practitioner - Nurse Practitioner 7012310444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Lifehealth PCGroup PAC ID 7315233954, 17 clinicians

Practice addresses (Care Compare)

1026 Goodyear Ave
Suite 302B
Gadsden, AL 35903-1194
Phone (256) 485-0899

Hospital & facility affiliations

  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
78.21
Improvement activities
40
Cost
78.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-128111ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Hospitalists LLC CurrentSince Jul 14, 2025 Accepting new patients
Lifehealth, P.C. CurrentSince Jun 1, 2021 Accepting new patients

Locations

2525 US Highway 431
Ste 270
Boaz, AL 35957

301 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0141

2001 Cades Ave SW
Fort Payne, AL 35968
Phone (256) 492-7404

1026 Goodyear Ave
Ste 302B
Gadsden, AL 35903
Phone (256) 458-0899

7938 AL Highway 69
Ste 360
Guntersville, AL 35976
Phone (256) 571-8580

55 Rowe Dr
#C
Guntersville, AL 35976
Phone (256) 571-8810

2055 E South Blvd
Ste 708
Montgomery, AL 36116
Phone (334) 288-1033

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGAD

Organizations & group practices 2

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 5

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1831789189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 GOODYEAR AVE STE 302B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031194",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd Ste 708",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162014",
            "country_code": "US",
            "telephone_number": "334-457-7212",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7938 Al Highway 69 Ste 360",
            "address_purpose": "LOCATION",
            "city": "Guntersville",
            "state": "AL",
            "postal_code": "359767177",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351259314",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 US Highway 431 Ste 270",
            "address_purpose": "LOCATION",
            "city": "Boaz",
            "state": "AL",
            "postal_code": "359575934",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Cades Ave SW",
            "address_purpose": "LOCATION",
            "city": "Fort Payne",
            "state": "AL",
            "postal_code": "359683554",
            "country_code": "US",
            "telephone_number": "256-485-0899",
            "fax_number": "866-265-9563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CODY",
        "middle_name": "BARRY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-128111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.