Individual provider Active NPI

Jay Paul Gray, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1205211497
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01819 Issued in KS
Practice address
4910 Corporate Centre Dr Ste 150
Lawrence, KS 66047-1002
Phone
(785) 730-8770
Fax
(785) 730-8780
NPI assigned
Jul 29, 2015
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01819 KS Primary

Addresses

Primary practice location

4910 Corporate Centre Dr Ste 150
Lawrence, KS 66047-1002

Mailing address

9300 E 29TH St N BLDG 300
Wichita, KS 67226-2182
Phone (316) 612-1833

Other practice location 1

5120 SW 28th St
Topeka, KS 66614-2321
Phone (785) 408-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903002043 KS Practitioner - Physician Assistant 5193031268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ricks Advanced Dermatology and Skin Surgery PAGroup PAC ID 7315241577, 7 clinicians

Practice addresses (Care Compare)

11550 Granada St
Leawood, KS 66211-1453
Phone (913) 451-7546

5120 SW 28TH St
Topeka, KS 66614-2321
Phone (785) 408-5800

7901 W 135TH St
Overland Park, KS 66223-1201
Phone (913) 451-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-01824KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Skin Cancer Specialists, LLC CurrentSince Sep 1, 2020 Accepting new patients
Skin & Mohs Surgery Center, LLC Current Accepting new patients

Locations

11550 Granada St
Leawood, KS 66211
Phone (913) 451-7546

7901 W 135th St
Overland Park, KS 66223
Phone (913) 451-7546

Interoperability endpoints

  • Direct secure messaging: jagray@kansascity.emadirect.md
  • Direct secure messaging: jayg@radss.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1205211497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N BLDG 300",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262182",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 CORPORATE CENTRE DR STE 150",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471002",
            "telephone_number": "785-730-8770",
            "fax_number": "785-730-8780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5120 SW 28th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666142321",
            "country_code": "US",
            "telephone_number": "785-408-5800",
            "fax_number": "785-730-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAY",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.