Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward C Gray, MD

Individual provider Surgery Physician · NPI 1811383706

Dr. Edward C Gray, MD is a General Surgery in Kingsport, Tennessee. Qualified in 2020, 6 years ago. Practices with Northwestern Medical Center Inc, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Vermont.

Years since qualifying
6
Licensed in
TN, VT
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 W Ravine Rd Ste 3A
Kingsport, TN 37660-3841
Phone: (423) 245-6101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 W Stone Dr Ste 310, Kingsport, TN 37660-6030 — (423) 398-7020

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 63102 (TN)
Surgery Physician Taxonomy 208600000X · Licence 042.0019056 (VT)

Record details

NPI number1811383706
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwestern Medical Center Inc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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