CHRISTOPHER GRAY GULLEDGE – Family Nurse Practitioner, NPI 1811535065

CHRISTOPHER GRAY GULLEDGE is a healthcare provider. based in Southside, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-136456 (AL). The NPI Number for CHRISTOPHER GRAY GULLEDGE is 1811535065

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER GRAY GULLEDGE
NPI
1811535065
Phone
(256) 490-4272
Address
1045 COVE RD
Enumeration Date
18 December 2019
Last Update Date
5 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562355121
Graduation Year
2019 (7 years ago)
PAC ID
6103253158
Group Practice PAC ID
2668835604
Professional Enrollment ID
I20200303002740
Address ID
AL362074716AN400XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for CHRISTOPHER GRAY GULLEDGE

  • 1045 COVE RD

    SOUTHSIDE, AL 359070577

    Phone: (256) 490-4272

    Type: Mailing

  • 2505 US HIGHWAY 431

    BOAZ, AL 359575908

    Phone: (256) 593-8310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200303002740INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making10097$0
99284Emergency department visit with moderate level of medical decision making6160$0
99283Emergency department visit with low level of medical decision making2120$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 35907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668835604View full group profile
NameSpecialtyState
Emergency MedicineAL
Emergency MedicineAL
Emergency MedicineMO
Emergency MedicineAL
Nurse PractitionerAL
Emergency MedicineFL
Nurse PractitionerAL
Emergency MedicineAL
Family PracticeAL
Family PracticeWV

Reviews

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Frequently asked questions

What number should I use to identify CHRISTOPHER GRAY GULLEDGE for billing?
Administrative and clinical systems typically use NPI 1811535065 for CHRISTOPHER GRAY GULLEDGE.
Is CHRISTOPHER GRAY GULLEDGE currently accepting referrals based on NPI status?
Registry metadata lists CHRISTOPHER GRAY GULLEDGE as active.
Which specialty label fits CHRISTOPHER GRAY GULLEDGE?
NPPES ties CHRISTOPHER GRAY GULLEDGE to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHRISTOPHER GRAY GULLEDGE?
CHRISTOPHER GRAY GULLEDGE is associated with Southside, Alabama in the same public data insurers reference.
Can I export CHRISTOPHER GRAY GULLEDGE's record?
You can download the official NPPES record; we summarize key fields for readability.

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