Active NPI
Tiffany Shannon Ray, CRNA
- Certified Registered Nurse Anesthetist
- Horn Lake, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 864509
- Practice address
- 6410 Walnut Grove Rd
Horn Lake, MS 38637-2023 - Phone
- (901) 652-0880
- NPI assigned
- Nov 9, 2006
- Last updated
- Feb 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 15099 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 864509 | MS | Primary |
Addresses
Primary practice location
6410 Walnut Grove Rd
Horn Lake, MS 38637-2023
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 234-9888
Other practice location 2
7900 Airways Blvd Ste 101
Southaven, MS 38671-4113
Phone (662) 349-6950
Other practice location 3
1208 Office Park Dr
Oxford, MS 38655-3597
Phone (662) 234-9888
Other practice location 4
8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200020616 | Medicaid | MS | |
| Q057613 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1265 Union Ave
Suite 201
Memphis, TN 38104-3415
Phone (901) 516-7000
6286 Briarcrest Ave
Suite 300
Memphis, TN 38120-4023
Phone (901) 473-6405
6485 Poplar Ave
Memphis, TN 38119-4838
Phone (901) 767-3937
7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (901) 383-9478
8000 Wolf River Blvd
Suite 200
Germantown, TN 38138-1755
Phone (901) 684-5503
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15099 | TN | MD | Social Worker |
| 864509 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Imaging & Therapeutics, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mid-South Vascular Physicians PLLC | Current | Accepting new patients | |
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midsouth Speciality Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Center of the Midsouth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| G I Diagnostic and Therapeutic Center LLC | Current | Accepting new patients | |
| Specialty Physician Group LLC | Past | Accepting new patients | |
| Anesthesia Health Consultants | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gastrointestinal Specialists Foundation, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 31)
400 10th St E
Waconia, MN 55387
1208 Office Park Dr
Oxford, MS 38655
Phone (662) 234-9888
403 Getwell Dr
Senatobia, MS 38668
Phone (662) 301-2130
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
7668 Airways Blvd
Bldg 2
Southaven, MS 38671
Phone (901) 766-9490
7736 Airways Blvd
Southaven, MS 38671
Phone (662) 772-3700
7900 Airways Blvd
Bldg B100
Southaven, MS 38671
Phone (662) 349-2442
7900 Airways Blvd
Ste 101
Southaven, MS 38671
Phone (662) 349-6950
589 Garfield St
Ste 201
Tupelo, MS 38801
Phone (662) 680-5565
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Gastro Onegovt Arhcl
New York, NY 10087
1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140
670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686
1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151
1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300
27 Medical Center Dr
#A
Jackson, TN 38301
Phone (731) 280-0157
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700
1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650
1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727
6286 Briarcrest Ave
Ste 300
Memphis, TN 38120
Phone (901) 473-6405
Organizations & group practices 14
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.
-
- Certified Registered Nurse Anesthetist
- Memphis, TN
- NPI 1639758535
Nurse Anesthetist, Certified Registered
-
dba Associates In Gastroenterology
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
MS, Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Vascular & Interventional Radiology Physician
- Memphis, TN
- NPI 1073360061
-
- Certified Registered Nurse Anesthetist
- Germantown, TN
- NPI 1245956440
MS, Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Memphis, TN
- NPI 1093130585
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Endoscopy Clinic/Center
- Germantown, TN
- NPI 1760467732
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Jeffersonville, IN
- NPI 1336528926
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1114097615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 WALNUT GROVE RD",
"city": "HORN LAKE",
"state": "MS",
"postal_code": "386372023",
"telephone_number": "901-652-0880"
}
],
"practiceLocations": [
{
"address_1": "1208 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386553597",
"country_code": "US",
"telephone_number": "662-234-9888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7900 Airways Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386714113",
"country_code": "US",
"telephone_number": "662-349-6950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1208 Office Park Dr",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "MS",
"postal_code": "386553597",
"country_code": "US",
"telephone_number": "662-234-9888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 Wolf River Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381755",
"country_code": "US",
"telephone_number": "901-747-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "TIFFANY",
"middle_name": "SHANNON",
"name_prefix": "Miss",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "15099",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "864509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200020616",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q057613",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horn Lake, MS
- Professional Rehab
- Psychological Education Inc (PsychEd)
- Psychological Education Inc (PsychEd)
- Psychological Education Incorporated (PsychEd Inc.)
- Psychosocial Boutique, PLLC.
- Katherine Reece, DDS
- Brian Darrel Rhoads, DDS
- Arthur Thomas Roach, P.A.-C.
- Jacqueline Rueda, PT.
- S&K Medical,LLC (Superior Health and Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.