Individual provider Active NPI

Sibyl Wray, MD

  • Neurology Physician
  • Knoxville, TN
National Provider Identifier
1881662591
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
031665 Issued in TN
Practice address
2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone
(865) 218-6222
Fax
(833) 671-1059
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 031665 TN Primary

Addresses

Primary practice location

2060 Lakeside Centre Way
Knoxville, TN 37922-6591

Mailing address

2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone (865) 218-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040129000074 TN Practitioner - Neurology 3870496797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Duke University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2060 Lakeside Centre Way
Knoxville, TN 37922-6591
Phone 86521862228306

Hospital & facility affiliations

  • Parkwest Medical Center Hospital, Knoxville, TN, CCN 440173
  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011
  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031665TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sibyl Wray MD Neurology PC Neurology CurrentSince Apr 1, 2005 Accepting new patients

Locations

2060 Lakeside Centre Way
Knoxville, TN 37922
Phone (865) 218-6222

10810 Parkside Dr
Ste 306
Knoxville, TN 37934
Phone (615) 284-4664

Interoperability endpoints

  • Direct secure messaging: sibyl.wray.1@26309.direct.athenahealth.com

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.

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1881662591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "865-218-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 LAKESIDE CENTRE WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226591",
            "telephone_number": "865-218-6222",
            "fax_number": "833-671-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAY",
        "first_name": "SIBYL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "031665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.