DR. GEORGE THOMPSON GRAY III (NPI# 1023072105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023072105 |
| Entity Type | Individual |
| Full Name | DR. GEORGE THOMPSON GRAY III |
| Credential | D.O. |
| Practice Address |
1400 Braden St Emergency Dept Jacksonville AR 72076-3721 |
| Mailing Address |
Po Box 3925 Shreveport LA 71133-3925 |
| Practice Telephone | 5019857000 |
| Mailing Telephone | 8006840052 |
| Mailing Fax Number | 4058441794 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R-3735 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | R3735 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113616003 | 05 | |
| RAILROAD MCARE | P01027353 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730680646 | George Gray | Technician | 2301 11th St Nw Apt 304, Washington, DC 20001-2256 | 2018-02-26 |
| 1710427406 | George Gray II | Behavior Technician | 878 Katinka Dr Ne, Kalkaska, MI 49646-9707 | 2017-03-01 |
| 1124171335 | George H Gray | Dentist | 550 E. Latham, #1, Hemet, CA 92543 | 2007-01-19 |
| 1093878316 | George Peter Gray | Internal Medicine | 2876 Bob Wallace Ave Sw, Huntsville, AL 35805-4106 | 2006-12-18 |
| 1952494015 | George William Gray Jr. | Family Medicine | 2000 38th Ave, Vero Beach, FL 32960 | 2006-10-02 |
| 1790183168 | George Gray IIi | Family Medicine | 2000 38th Ave, Vero Beach, FL 32960-2451 | 2014-12-16 |
| 1144578477 | George Gray | Home Health Aide | 7826 Eastern Ave Nw Ste Ll16, Washington, DC 20012-1328 | 2012-08-16 |
| 1992082309 | George Powell Gray | Pharmacist | 3801 Fm 3009, Schertz, TX 78154-1132 | 2011-11-14 |
| Street Address |
1400 BRADEN ST EMERGENCY DEPT |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509673 | Pulaski Emergency Group LLC | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2005-12-16 |
| 1306476957 | David Wicker | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2020-01-23 |
| 1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
| 1154736262 | Monte Douglas | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2014-06-26 |
| 1568715910 | Chg Cornerstone Hospital of Little Rock, LLC | Long Term Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2012-10-23 |
| 1376812487 | Gpn Jacksonville LLC | Emergency Medicine | 1400 Braden St, Er Dept, Jacksonville, AR 72076-3721 | 2011-12-19 |
| 1093044166 | Jacksonville Emergency Medicine LLC | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-12-18 |
| 1134367022 | Rita Margaret Odom | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-01-30 |
| 1972709418 | Nasir Zareen | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-06-22 |
| 1487863619 | Allegiance Hospital of North Little Rock, LLC | General Acute Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676186 | Sarah Colleen Tapscott | Family Medicine | 1908 Mill Creek Rd, Jacksonville, FL 32211-5052 | 2020-07-20 |
| 1790303170 | Samantha L Scott | Family Medicine | 516 Pierce Ln, Jacksonville, TX 75766-4546 | 2020-07-11 |
| 1689298689 | Meridian Spine and Joint, Inc | Family Medicine | 9770 Old Baymeadows Rd Ste 139, Jacksonville, FL 32256-7986 | 2020-06-04 |
| 1154942563 | Families First Medical Group | Family Medicine | 12086 Fort Caroline Rd Ste 103, Jacksonville, FL 32225-2688 | 2020-04-27 |
| 1598396392 | Pareto Population Health Management Practice Pllc | Family Medicine | 1697 Kings Rd Ste 1, Jacksonville, FL 32209-6169 | 2020-01-30 |
| 1942862206 | Cindy S Wright Do Pllc | Family Medicine | 12627 San Jose Blvd Ste 902, Jacksonville, FL 32223-8645 | 2019-07-07 |
| 1942868377 | Pain Spine & Wellness LLC | Family Medicine | 9770 Old Baymeadows Rd Ste 141, Jacksonville, FL 32256-7986 | 2019-05-31 |
| 1669035705 | Kathy Jo Daniels | Family Medicine | 10457 Wellington Springs Way, Jacksonville, FL 32221-1175 | 2019-04-15 |
| 1821579103 | Tiffany N Major | Family Medicine | 5194 Johnson Creek Dr, Jacksonville, FL 32218-9308 | 2018-08-24 |
| 1568987360 | Main Street Health LLC | Family Medicine | 2 Shircliff Way Ste 620, Jacksonville, FL 32204-4762 | 2017-08-14 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.