TABITHA DENISE BRAY NP
NPI 1306409487
Nurse Practitioner - Family in Anderson, SC
About Tabitha Denise Bray Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TABITHA DENISE BRAY NP (NPI 1306409487) is an individual family provider in Anderson, South Carolina, licensed in South Carolina (22913) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tabitha Denise Bray Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tabitha Bray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnson City, TN 37601
- Reassigned Medicare billing, South Carolina enrollment
- 12 clinicians in this Medicare group
Johnson City, TN 37601
- Reassigned Medicare billing, South Carolina enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANDERSON, SC 29621
ANDERSON, SC 29621
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tabitha Bray's NPI number?
The NPI number for Tabitha Bray is 1306409487. It was assigned to this individual provider in the NPPES registry on April 15, 2019.
Where is Tabitha Bray located?
Tabitha Bray practices at 1501 E Greenville St, Anderson, SC 29621. The listed phone number is (864) 226-8356.
What is Tabitha Bray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tabitha Bray enrolled in Medicare?
Yes. Tabitha Bray is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tabitha Bray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Bray reassigns Medicare benefits to 2 organizations: Integrated Health Transitions, PLLC (Johnson City, TN) and Renuven Aco PLLC (Johnson City, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tabitha Bray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tabitha Bray was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tabitha Denise Bray, NP · NPI 1306409487
Family physician in Anderson, South Carolina. Individual provider, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1306409487 (Entity type: Individual)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 22913 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 E GREENVILLE ST, Anderson, SC 29621-2004
- **Phone:** (864) 226-8356
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Integrated Health Transitions, PLLC (NPI 1922463470, Johnson City, TN); Renuven Aco PLLC (NPI 1568209872, Johnson City, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306409487) · Data from the CMS NPPES public registry.