DERRICK GRAY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023554094

DERRICK GRAY (CRNA) is a healthcare provider. based in Birmingham, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1116241 (AL). The NPI Number for DERRICK GRAY (CRNA) is 1023554094

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK GRAY (CRNA)
NPI
1023554094
Phone
(334) 377-4415
Address
701 PRINCETON AVE SW
Enumeration Date
13 January 2017
Last Update Date
13 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054818543
Graduation Year
2016 (10 years ago)
PAC ID
3173808193
Group Practice PAC ID
9234041815
Professional Enrollment ID
I20170314000422
Address ID
AL350458344CL2030XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for DERRICK GRAY (CRNA)

  • NW Corner of Tuscaloosa Av & 7th St SW, 701, Princeton Avenue Southwest, Elyton, Birmingham, Jefferson County, Alabama, 35254, United States

    BIRMINGHAM, AL 35211

    Phone: (334) 377-4415

    Fax: (334) 377-4417

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170314000422ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01992Anesthesia for nerve block and injection procedure, prone position4240$0
00142Anesthesia for lens surgery2119$0
00811Anesthesia for other procedure on large bowel using an endoscope1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1111$0
View full utilization report →

Insurance plans in this area (ZIP 35211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234041815View full group profile
NameSpecialtyState
-AL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)MA

Reviews

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Frequently asked questions

Where can patients find DERRICK GRAY (CRNA)'s NPI?
You can confirm DERRICK GRAY (CRNA) with NPI 1023554094; it appears in the national provider directory.
Is DERRICK GRAY (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DERRICK GRAY (CRNA)'s specialty in plain language?
Clinically, the directory lists DERRICK GRAY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for DERRICK GRAY (CRNA)?
We surface Birmingham, Alabama for DERRICK GRAY (CRNA) based on available NPPES addresses.
How can I contact DERRICK GRAY (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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