DR. GEORGE THOMPSON GRAY D.O. NPI 1023072105

NPI Information

NPI: 1023072105
Provider Name: DR. GEORGE THOMPSON GRAY, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1400 BRADEN ST
EMERGENCY DEPT
JACKSONVILLE, AR
ZIP 72076
Phone: (501) 985-7000
Get Directions

DR. George Thompson Gray, D.O. is a family medicine in Jacksonville, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. George Thompson Gray, D.O. NPI is 1023072105. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 BRADEN ST
EMERGENCY DEPT
JACKSONVILLE, AR
ZIP 72076-721
Phone: (501) 985-7000

The NPI 1023072105 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		R-3735	ARKANSAS	No
2	207Q00000X	Family Medicine		R3735	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5K745	MEDICARE UPIN	ARKANSAS
2	E23719	MEDICARE PIN	ARKANSAS
3	P01027353	OTHER		RAILROAD MCARE
4	5K745G254	MEDICARE PIN	ARKANSAS
5	113616003	MEDICAID	ARKANSAS
6	5K745GA32	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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