TIFFANY B GRAY (FNP) – Family Nurse Practitioner, NPI 1114201068
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for TIFFANY B GRAY (FNP)
426 White Ave
Henderson, TN 383401914
Phone: (731) 989-2174
Fax: (731) 645-5195
Type: Location
155 Hamlet Ave
Henderson, TN 383402407
Phone: (731) 989-2174
Fax: (731) 645-5195
Type: Location
710 E Main St
Adamsville, TN 383102458
Phone: (731) 632-3383
Fax: (731) 645-5195
Type: Location
270 E COURT AVE
SELMER, TN 383752304
Phone: (731) 645-7932
Fax: (731) 645-5195
Type: Mailing
270 E COURT AVE STE B
SELMER, TN 383752304
Phone: (731) 645-7932
Fax: (731) 645-5195
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Novo Nordisk Inc ($48).
Total Amount
$65
General + Research + Ownership
Payments
3
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $48 |
| ABBVIE INC. | $17 |
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: 2011-10-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111024000515 | I | Nurse Practitioner | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 38340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TN | |
| Family Practice | AL | |
| Clinical Social Worker | MS | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | TN | |
| Nurse Practitioner | TN |
Reviews
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