NPIMap

Individual provider Active NPI

Hannah Ray

  • Family Medicine Physician
  • Flowood, MS
National Provider Identifier
1023404100
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000000000 Issued in MS
Practice address
2466 Flowood Dr
Flowood, MS 39232-9019
Phone
(601) 815-5700
Fax
(601) 815-5795
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0000000000 MS Primary

Addresses

Primary practice location

2466 Flowood Dr
Flowood, MS 39232-9019

Mailing address

2466 Flowood Dr
Flowood, MS 39232-9019
Phone (601) 815-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809004307 MS Practitioner - Family Practice 6305152422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sunflower County HospitalGroup PAC ID 6709771637, 18 clinicians

Practice addresses (Care Compare)

122 E Baker St
Indianola, MS 38751-2451
Phone 66288721082119

Hospital & facility affiliations

  • Adoration Home Health and Hospice Care Mississippi Home health agency, Indianola, MS, CCN 257101
  • Accentcare Home Health of Greenwood Home health agency, Greenwood, MS, CCN 257131
  • Grace Hospice Hospice, Greenwood, MS, CCN 251693
  • Grace Community Hospice Hospice, Hollandale, MS, CCN 251641
  • South Sunflower County Hospital Hospital, Indianola, MS, CCN 250095
  • Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082
  • North Sunflower Medical Center Cah Hospital, Ruleville, MS, CCN 251318
  • South Sunflower County Hospital Nursing home, CCN 25U095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000000000MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital CurrentSince Jul 20, 2019 Accepting new patients
South Sunflower County Hospital CurrentSince Jul 20, 2019 Accepting new patients
South Sunflower County Hospital Current Accepting new patients
South Sunflower County Hospital Current Accepting new patients

Locations

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

122 E Baker St
Indianola, MS 38751
Phone (662) 335-0183

Interoperability endpoints

  • Direct secure messaging: hray@ssch.securechart.com
  • Direct secure messaging: hannahray@ifmg.allscriptsdirect.net
  • Direct secure messaging: hannahray@ssch.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1023404100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2466 FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329019",
            "telephone_number": "601-815-5700",
            "fax_number": "601-815-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "HANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.