Christian Gabrielle Arrington, CRNP

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Grayson and Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 63 clinicians in the practice; 12 are shown here.

• Christine E Agee, PHD Clinical Psychologist · Birmingham, AL
• Latisha Ali, CRNP Psychiatric/Mental Health Nurse Practitioner · Hoover, AL
• Tiffany Nicole Andry, MD Psychiatry Physician · Birmingham, AL
• Karen E Callahan, MD Psychiatry Physician · Birmingham, AL
• Mr. David Charles Dees Jr., LMSW Clinical Social Worker · Vestavia Hills, AL
• Elton L Hurst, MD Psychiatry Physician · Birmingham, AL
• Emily Anne Martin, CRNP Registered Nurse · Birmingham, AL
• Mary Evelyn Moore Clinical Social Worker · Birmingham, AL
• Armand Sorin Schachter, MD Psychiatry Physician · Birmingham, AL
• Julia Ann Terrell, CRNP Psychiatric/Mental Health Nurse Practitioner · Gardendale, AL
• Andrea M Thomas Psychiatry Physician · Birmingham, AL
• Mrs. Tiffany Betts Waller, CRNP Psychiatric/Mental Health Nurse Practitioner · Birmingham, AL

Other providers in Anniston

• Mrs. Olivia Ann Couch, CRNP

  Individual Psychiatric/Mental Health Nurse Practitioner · NPI 1598209330

  801 Noble St Ste 400, Anniston, AL 36201 · (256) 770-4083

• Shelley Padgett, CRNP

  Individual Psychiatric/Mental Health Nurse Practitioner · NPI 1588146039

  5 Sunset Dr, Anniston, AL 36207-7607 · (332) 296-4649