MRS. TAMMY DIANE GRAYSON (PA-C) – Physician Assistant, NPI 1689976037

MRS. TAMMY DIANE GRAYSON (PA-C) is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9105790 (FL). The NPI Number for MRS. TAMMY DIANE GRAYSON (PA-C) is 1689976037

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TAMMY DIANE GRAYSON (PA-C)
NPI
1689976037
Phone
(386) 231-3530
Address
305 MEMORIAL MEDICAL PKWY
Enumeration Date
17 November 2010
Last Update Date
17 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3862712273
Graduation Year
2010 (16 years ago)
PAC ID
1456532092
Group Practice PAC ID
5890712806
Professional Enrollment ID
I20110302000130
Address ID
FL321278980PO1690XAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. TAMMY DIANE GRAYSON (PA-C)

  • 305 MEMORIAL MEDICAL PKWY

    SUITE 205

    DAYTONA BEACH, FL 321175168

    Phone: (386) 231-3530

    Fax: (386) 231-3534

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $2,759.

Total Amount is formed as General ($2,759) + Research ($0) + Ownership ($0) = $2,759.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,286).

Total Amount

$2,759

General + Research + Ownership

Payments

40

Total payment records

General Amount

$2,759

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-02

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
I20110302000130IPhysician AssistantFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes6750$0
49650Repair of groin hernia using an endoscope1918$0
47562Removal of gallbladder using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 5890712806View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
General Practice, Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for MRS. TAMMY DIANE GRAYSON (PA-C)?
Save NPI 1689976037 if you need a stable reference for MRS. TAMMY DIANE GRAYSON (PA-C).
Is MRS. TAMMY DIANE GRAYSON (PA-C)'s NPI currently valid?
The extract we use shows MRS. TAMMY DIANE GRAYSON (PA-C) as active.
What field does MRS. TAMMY DIANE GRAYSON (PA-C) work in?
You can think of MRS. TAMMY DIANE GRAYSON (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. TAMMY DIANE GRAYSON (PA-C)?
The page summarizes Daytona Beach, Florida for MRS. TAMMY DIANE GRAYSON (PA-C); expand the address list for detail.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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