Individual provider Active NPI

Darin Gray, PA

  • Medical Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1619325990
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5308 Issued in SC
Practice address
1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone
(803) 328-1831
Fax
(803) 324-5131
NPI assigned
May 27, 2016
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5308 SC
Medical Physician Assistant 363AM0700X 5308 SC Primary

Addresses

Primary practice location

1533 Ebenezer Rd
Rock Hill, SC 29732-1806

Mailing address

1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone (803) 328-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240524001102 SC Practitioner - Physician Assistant 2062704307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Hill Dermatology CenterGroup PAC ID 2961544176, 2 clinicians

Practice addresses (Care Compare)

1533 Ebenezer Rd
Rock Hill, SC 29732-1806
Phone (803) 328-1831

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5308SCMDChiropractor

Interoperability endpoints

  • Direct secure messaging: dgray@rockhillderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1619325990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321806",
            "telephone_number": "803-328-1831",
            "fax_number": "803-324-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321806",
            "telephone_number": "803-328-1831",
            "fax_number": "803-324-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "DARIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5308",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "5308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.