Active NPI
Derrick Andre Gray, M.D.
- Family Medicine Physician
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E6424
- Practice address
- 2422 N Thompson St
Springdale, AR 72764-1757 - Phone
- (479) 750-6585
- Fax
- (479) 750-6594
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E6424 | AR | Primary |
Addresses
Primary practice location
2422 N Thompson St
Springdale, AR 72764-1757
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 521-8260
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
4301 W Markam St
Little Rock, AR 72205-7101
601 W Maple Ave
Springdale, AR 72764-5370
Phone (479) 750-6585
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175
Hospital & facility affiliations
- Baptist Health - Fort Smith
- Northwest Medical Center-Springdale
- Washington Regional Medical Center
- Mercy Hospital Fort Smith
- Siloam Springs Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Crawford Physician Services, PLLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Ies HSP Arkansas PLLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| Arkansas Post Discharge Services, PLLC | Current | Accepting new patients | |
| Sebastian Physician Services, PLLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| Springdale- Bentonville HBP Services, LLC | Current | Accepting new patients | |
| WH Ar Medical PLLC | Family Medicine | Past | Accepting new patients |
| Baptist Health Regional Hospitals | Past | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
601 W Maple Ave
Ste 102
Springdale, AR 72764
Phone (479) 750-6585
211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300
Interoperability endpoints
- dgray46811@washingtonregional.direct-ci.com
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Hospitalist Physician
- Fort Smith, AR
- NPI 1255110110
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
-
- Hospitalist Physician
- Fort Smith, AR
- NPI 1851152029
-
- Hospitalist Physician
- Van Buren, AR
- NPI 1346029204
-
dba UAMS NW Specialty Clinic
- Orthopaedic Surgery Physician
- Fayetteville, AR
- NPI 1477953248
-
- Family Medicine Physician
- Springdale, AR
- NPI 1487624490
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
dba Family Medical Center
- Family Medicine Physician
- Fayetteville, AR
- NPI 1457320780
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
-
dba Siloam Springs Regional Hospital
- General Acute Care Hospital
- Siloam Springs, AR
- NPI 1902051816
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1609073022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 N THOMPSON ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727641757",
"telephone_number": "479-750-6585",
"fax_number": "479-750-6594"
}
],
"practiceLocations": [
{
"address_1": "1125 N College Ave",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727031908",
"country_code": "US",
"telephone_number": "479-521-8260",
"fax_number": "479-443-3903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAY",
"first_name": "DERRICK",
"middle_name": "ANDRE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E6424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.