Thomas Richard Degraff III, D.O.
Individual provider Active NPI General Practice Physician · Little Rock Afb, AR
NPI 1003002510 · NPPES record last updated Feb 24, 2026
Key facts
- NPI
- 1003002510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- E-8909 (AR)
- Practice address
- 101 Cmsgt Williams Dr
Little Rock Afb, AR 72099-0001 - Phone
- (501) 987-6951
- NPI assigned
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Mid West Medical College, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Centers Medical Clinic, LLC
Practice addresses (Care Compare)
1521 Merrill Dr
Suite D240
Little Rock, AR 72211-1821
Phone (501) 664-3700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209001563 | AR | Practitioner - General Practice | 7012199425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A141807 | NM | MD | Aerospace Medicine Physician |
| E-8909 | AR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers Medical Clinic, LLC | Current |
Accepting new patients | |
| Hot Springs MRI Center | Past |
Accepting new patients | |
| Arkansas Urology, P.a. | Past |
Accepting new patients |
Locations
1521 Merrill Dr
Ste D240
Little Rock, AR 72211
Phone (501) 660-6897
Interoperability endpoints
- https://api.platform.athenahealth.com/10448/brand/1/csg/1/fhir/r4
- thomas.degraff.1@10672.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | A141807 | NM | |
| General Practice Physician | 208D00000X | E-8909 | AR | Yes |
Addresses
Primary practice location
101 Cmsgt Williams Dr
Little Rock Afb, AR 72099-0001
Mailing address
101 Cmsgt Williams Dr
Little Rock Afb, AR 72099-0001
Phone (501) 987-6951
Other providers in Little Rock Afb, AR
- Andrew Campbell
- Bradley Charbonneau
- Andrew Chichick IV
- Valerie J Clegg
- Ashley Brett Coolman
- Patrick Depriest
- Mylinda Lou Dill
- Geriann T Dillender
- Alex Dudash
- Matthew Joe Edwards
All providers in Little Rock Afb, AR · General Practice Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.