Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derrick Gray, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023554094

Derrick Gray, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Birmingham, Alabama. Qualified in 2016, 10 years ago. Practices with Southern Perioperative Services P C, a 28-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
10
Licensed in
AL
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

701 Princeton Ave SW
Birmingham, AL 35211
Phone: (334) 377-4415
Fax: (334) 377-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1116241 (AL)

Record details

NPI number1023554094
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 13, 2017
Last updated in NPPESJanuary 13, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern Perioperative Services P C — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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