MRS. AMANDA MALONE GRAY (PA-C) – Physician Assistant, NPI 1245635291
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MRS. AMANDA MALONE GRAY (PA-C)
1325 WOLF PARK DR STE 102
GERMANTOWN, TN 381381759
Phone: (901) 252-3400
Fax: (901) 763-4305
Type: Location
1265 UNION AVE
EMERGENCY DEPARTMENT
MEMPHIS, TN 381043415
Phone: (901) 516-7653
Type: Mailing
125 Guthrie Dr
Southaven, MS 386715829
Phone: (662) 349-1964
Fax: (901) 763-4305
Type: Location
3145 Players Club Pkwy
Memphis, TN 381258835
Phone: (901) 252-3400
Fax: (901) 763-4305
Type: Location
1325 WOLF PARK DR STE 103
GERMANTOWN, TN 381381759
Phone: (901) 252-3400
Fax: (901) 763-4305
Type: Mailing
965 RIDGE LAKE BLVD STE 315
MEMPHIS, TN 381209401
Phone:
Fax: (901) 227-8591
Type: Mailing
6029 WALNUT GROVE RD STE 210
MEMPHIS, TN 381202112
Phone: (901) 226-2960
Fax: (901) 226-2982
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 152 Open Payments records for all available years, with a total value of $5,454.
Total Amount is formed as General ($5,454) + Research ($0) + Ownership ($0) = $5,454.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($1,192).
Total Amount
$5,454
General + Research + Ownership
Payments
152
Total payment records
General Amount
$5,454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,192 |
| Sumitomo Pharma America, Inc. | $866 |
| Intuitive Surgical, Inc. | $777 |
| Myriad Genetic Laboratories, Inc. | $625 |
| ABBVIE INC. | $407 |
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: 2021-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20150323001633 | I | Physician Assistant | TN | TBD |
| I20211014000868 | I | Physician Assistant | MS | 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 |
|---|---|---|---|---|
| 81001 | Manual urinalysis test with examination using microscope, automated | 1,111 | 600 | $0 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 1,104 | 599 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 989 | 539 | $0 |
| J0897 | Injection, denosumab, 1 mg | 960 | 15 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 378 | 255 | $0 |
Insurance plans in this area (ZIP 38138)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | IN | |
| - | TN | |
| U R O L O G Y | TN | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | FL | |
| Physician Assistant | TN | |
| U R O L O G Y | TN | |
| U R O L O G Y | TN | |
| Physician Assistant | TN | |
| U R O L O G Y | MS | |
| Physician Assistant | TN |
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