Individual provider Active NPI

Debra Laing Grayman, M.D.

  • Dermatology Physician
  • Orlando, FL
National Provider Identifier
1962411462
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME98190 Issued in FL
Practice address
7932 W Sand Lake Rd
Suite 206
Orlando, FL 32819-7263
Phone
(407) 900-2580
Fax
(407) 900-2580
NPI assigned
Aug 5, 2006
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME98190 FL Primary

Addresses

Primary practice location

7932 W Sand Lake Rd
Suite 206
Orlando, FL 32819-7263

Mailing address

7932 W Sand Lake Rd
Suite 206
Orlando, FL 32819-7263
Phone (407) 900-2580

Other practice location 1

10727 Narcoossee Rd Ste B6
Orlando, FL 32832-6943
Phone (407) 694-4971

Other identifiers 2

IdentifierTypeStateIssuer
NPIOtherFL1962411462
006347800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070822000510 FL Practitioner - Dermatology 3870685829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Morehouse School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7932 W Sand Lake Rd
Suite 206
Orlando, FL 32819-7230
Phone (407) 900-2580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions201
Skin biopsy117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98190FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Skin Dermatology and Aesthetics, LLC CurrentSince Jun 1, 2012 Accepting new patients
Associates in Dermatology Inc Past Accepting new patients

Locations

10727 Narcoossee Rd
Ste B6
Orlando, FL 32832
Phone (407) 694-4971

7932 W Sand Lake Rd
Ste 206
Orlando, FL 32819
Phone (407) 476-7553

Interoperability endpoints

  • Direct secure messaging: dlgrayman@directaddress.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1962411462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-900-2580",
            "fax_number": "407-900-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7932 W SAND LAKE RD",
            "address_2": "SUITE 206",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197263",
            "telephone_number": "407-900-2580",
            "fax_number": "407-900-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10727 Narcoossee Rd Ste B6",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326943",
            "country_code": "US",
            "telephone_number": "407-694-4971",
            "fax_number": "407-900-2581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYMAN",
        "first_name": "DEBRA",
        "middle_name": "LAING",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME98190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1962411462",
            "identifier": "NPI",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006347800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.