Individual provider Active NPI

Stephanie Ray, FNP

  • Family Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1124513213
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902711 Issued in MS
Practice address
670 Weathersby Rd Ste 140
Hattiesburg, MS 39402-9586
Phone
(601) 573-1393
NPI assigned
Jun 29, 2018
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902711 MS Primary

Addresses

Primary practice location

670 Weathersby Rd Ste 140
Hattiesburg, MS 39402-9586

Mailing address

118 High St
Brandon, MS 39042-3719
Phone (601) 573-1393

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003013 MS Practitioner - Nurse Practitioner 0244588184 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Practice addresses (Care Compare)

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

2550 Flowood Dr
Suite 200
Flowood, MS 39232-9305
Phone (601) 815-2005

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 30, 2024 Accepting new patients
Southern Medical Consultants LLC CurrentSince Jul 1, 2018 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 30, 2024 Accepting new patients
Aria Podiatry Care PLLC CurrentSince Feb 9, 2026 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Medical Systems Management LLC CurrentSince May 14, 2019 Accepting new patients
Aria Dental Care PC Past Accepting new patients

Locations

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

725 Dunbar Ave
Bay St Louis, MS 39520
Phone (228) 446-3099

108 Four LN Hwy 49
Bentonia, MS 39040
Phone (662) 998-8900

2550 Flowood Dr
Ste 200
Flowood, MS 39232
Phone (601) 936-0927

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

129 Center St
Ste B
Richland, MS 39218
Phone (769) 233-7141

7048 Old Canton Rd
Ste 2E
Ridgeland, MS 39157
Phone (601) 919-0972

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1124513213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HIGH ST",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423719",
            "telephone_number": "601-573-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 WEATHERSBY RD STE 140",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394029586",
            "telephone_number": "601-573-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.