Active NPI
James A Ray, APRN
- Nurse Practitioner
- Greenville, MS
National Provider Identifier
1043396591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R855591
- Practice address
- 1400 E Union St
Greenville, MS 38703-3246 - Phone
- (662) 378-3783
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Indianola, MS
- NPI 1407064454
-
- Clinic/Center
- Indianola, MS
- NPI 1487685897
-
- Advanced Practice Midwife
- Indianola, MS
- NPI 1962395863
-
- Family Nurse Practitioner
- Greenville, MS
- NPI 1598086639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061215000326 | MS | Practitioner - Nurse Practitioner | 5294734430 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R855591 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| South Sunflower County Hospital | Current | Accepting new patients | |
| Delta Physician Practices | Past | Accepting new patients | |
| Delta Medical Group | Nurse Practitioner | Past | Accepting new patients |
Locations
121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R855591 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1400 E Union St
Greenville, MS 38703-3246
Mailing address
PO Box 1734
Greenville, MS 38702-1734
Phone (662) 725-2749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2011.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1043396591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1734",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387021734",
"telephone_number": "662-725-2749",
"fax_number": "662-725-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E UNION ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033246",
"telephone_number": "662-378-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JAMES",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R855591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.