Tremayne Graydon, MS, LPC, CPHQ

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007943 Issued in GA

Practice address

4151 Memorial Dr Ste 103a
Decatur, GA 30032-1511

Phone

(678) 492-8899

NPI assigned

Nov 13, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1982981353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BEAVERBROOK LN",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155269",
            "telephone_number": "678-492-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 MEMORIAL DR STE 103A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321511",
            "telephone_number": "678-492-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYDON",
        "first_name": "TREMAYNE",
        "name_prefix": "Mr.",
        "credential": "MS, LPC, CPHQ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC002981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Leo Gray, LPC
• Frances Diana Gray, RN
• Mallory Maryruth Gray, CPNP-PC
• Qundal Chambers Gray, RPH
• Sharon Gray, D.O.
• Gre Days Corp
• Rhonda Kaye Grear, MSN, RNBC
• Greater Atlanta Family Counseling, LLC
• Greater Atlanta Home Care Services LLC
• Greater Atlanta Radiation Oncology Consultants, LLC

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.