KARLA MADRIGAL GRAY (PA-C) – Physician Assistant, NPI 1073287520

KARLA MADRIGAL GRAY (PA-C) is a healthcare provider. based in New tazewell, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5623 (TN). The NPI Number for KARLA MADRIGAL GRAY (PA-C) is 1073287520

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
KARLA MADRIGAL GRAY (PA-C)
NPI
1073287520
Phone
(423) 919-8244
Address
402 S BROAD ST
Enumeration Date
6 August 2021
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313645321
Graduation Year
2021 (5 years ago)
PAC ID
1153778840
Group Practice PAC ID
5395881841
Professional Enrollment ID
I20231117001545
Address ID
TN370342110CH4696XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for KARLA MADRIGAL GRAY (PA-C)

  • 402 S BROAD ST

    NEW TAZEWELL, TN 378257239

    Phone: (423) 919-8244

    Fax: (423) 919-8245

    Type: Mailing

  • 825 FOXCREST CT APT B

    TERRE HAUTE, IN 478034260

    Phone:

    Type: Mailing

  • 1801 N 6TH ST

    TERRE HAUTE, IN 478044086

    Phone: (812) 238-4708

    Type: Location

  • 1801 N 6th St

    Terre Haute, IN 478044086

    Phone: (812) 238-4708

    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: 2023-11-17

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
I20231117001545IPhysician AssistantTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37825)

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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: 5395881841View full group profile

Reviews

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Frequently asked questions

Does KARLA MADRIGAL GRAY (PA-C) have a public NPI I can cite?
Public records show KARLA MADRIGAL GRAY (PA-C) under NPI 1073287520.
Quick check: is KARLA MADRIGAL GRAY (PA-C) active?
Public NPPES data shows KARLA MADRIGAL GRAY (PA-C) with an active NPI status right now.
What does the directory say KARLA MADRIGAL GRAY (PA-C) does?
Insurance directories may phrase it differently, but here KARLA MADRIGAL GRAY (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to KARLA MADRIGAL GRAY (PA-C)?
KARLA MADRIGAL GRAY (PA-C) shows a connection to New Tazewell, Tennessee in registry-derived data.
Why is information missing for KARLA MADRIGAL GRAY (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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