Byron Kent Grayson, P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2956 Issued in AZ

Practice address

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021

Phone

(623) 227-1000

Fax

(623) 227-2000

NPI assigned

May 9, 2006

Last updated

Dec 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Be Safe Healthcare LLC

  • Adult Medicine Physician
  • Phoenix, AZ
  • NPI 1649115817
  NPD Authorized official
• Dispatchhealth-Arizona

  dba DispatchHealth

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1922532944
  Medicare reassignment
• Senior Doc Arizona PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700477627
  Medicare reassignment
• Siren Medical PC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1073148326
  Medicare reassignment
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  AZ

  Medicare reassignment
• Senior Doc Az Medical PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1790550895

  AZ

  Medicare reassignment
• Allied Mobile Imaging, LLC

  • Body Imaging Physician
  • Phoenix, AZ
  • NPI 1154918811
  NPD
• Dispatchhealth-Arizona

  • Emergency Medicine Physician
  • Columbia, MD
  • NPI 1811765449
  NPD
• Benjamin S Stehower

  • Radiologic Technologist
  • Prescott, AZ
  • NPI 1174808026
  NPD (past)
• Emergency Physician Professional Association, LTD.

  • Emergency Medicine Physician
  • Glendale, AZ
  • NPI 1396769972
  NPD (past)
• Emergency Physicians Professional Association LTD

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1114931490
  NPD (past)
• Progressive Medical Associates PLLC

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1548218613

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1346299021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6055",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853766055",
            "telephone_number": "623-977-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000",
            "fax_number": "623-227-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W Mountain View Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "BYRON",
        "middle_name": "KENT",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841909",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Home Dialysis LLC (Grand Home Dialysis)
• Jeffrey Morton Grant, MD
• Jasmine Graves
• Kaitlyn Gray, PTA
• Kyla Camille Gray, MSN, FNP-C, PMHNP-C
• Mary Ellen Grayson
• Brenda Graziano, LMSW
• Great Smiles Dental Care
• Great Smiles Dental Group LLC
• Adara Greathouse

• Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.