Andrew L. Ray, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005322 Issued in GA

Practice address

3051 Watson Blvd
Suite 525
Warner Robins, GA 31093-8536

Phone

(478) 953-4563

Fax

(478) 953-4683

NPI assigned

May 20, 2008

Last updated

May 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Youthcare,PC

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1528098993
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1083871834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 OSIGIAN BLVD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887880",
            "telephone_number": "478-953-5358",
            "fax_number": "478-953-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD",
            "address_2": "SUITE 525",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938536",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANDREW",
        "middle_name": "L.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ransom
• Kirk Ashley Ransom, ATC
• Raphamed Primary Care
• Bernessa Rawls-Baker
• Shaniece Arriel Rawls, BS
• Jessica Ray
• Tatyana Ray
• Realistic Nutrition LLC
• Receiving Everlasting Grace and Love Counseling Services, LLC (Regal)
• Arthi Reddy

• Physician Assistant in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.

Verify at the official NPI Registry.