Individual provider Active NPI

Carl Brent Gray, NP

  • Family Nurse Practitioner
  • London, KY
National Provider Identifier
1891456208
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3017187 Issued in KY
Practice address
501 S McFadden LN
London, KY 40741-1489
Phone
(606) 524-5999
NPI assigned
Jan 7, 2022
Last updated
Jan 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017187 KY Primary

Addresses

Primary practice location

501 S McFadden LN
London, KY 40741-1489

Mailing address

501 S McFadden LN
London, KY 40741-1489
Phone (606) 524-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220615000406 TN Practitioner - Nurse Practitioner 2668851056 Reassigns benefits to 1 organization
I20230911002889 KY Practitioner - Nurse Practitioner 2668851056 Reassigns benefits to 5 organizations
I20250102001275 VA Practitioner - Nurse Practitioner 2668851056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Valley Emergency Physicians, LLCGroup PAC ID 4385035534, 36 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians
South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians

Practice addresses (Care Compare)

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (844) 270-6621

2 Trillium Way
Suite 306
Corbin, KY 40701-8426
Phone (606) 526-4070

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

4604 US Hwy 60 W
Morganfield, KY 42437-6515
Phone (270) 389-5000

476 Liberty Rd
West Liberty, KY 41472-2049
Phone (606) 743-3186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as group
Quality
83.59
Improvement activities
40
Cost
90.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31647TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Kentucky PLLC Family CurrentSince May 1, 2024 Accepting new patients
South Central Physicians PLLC Family CurrentSince May 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Family CurrentSince Jun 1, 2022 Accepting new patients
Southern Medical Partners, LLC CurrentSince Jun 25, 2024 Accepting new patients
Green Valley Emergency Physicians, LLC Family CurrentSince Feb 10, 2025 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Nov 21, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

2 Trillium Way
Ste 306
Corbin, KY 40701
Phone (606) 523-4070

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 253-4900

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1850 Old Knoxville Rd
Tazewell, TN 37879
Phone (423) 526-2137

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

Organizations & group practices 8

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 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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1891456208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S MCFADDEN LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411489",
            "telephone_number": "606-524-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S MCFADDEN LN",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411489",
            "telephone_number": "606-524-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CARL",
        "middle_name": "BRENT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.