Individual provider Active NPI

Karri O Ray, PA-C

  • Physician Assistant
  • Statesboro, GA
National Provider Identifier
1144257379
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004109 Issued in GA
Practice address
1497 Fair Rd Ste 104
Statesboro, GA 30458-0822
Phone
(912) 486-1600
Fax
(912) 871-3342
NPI assigned
Jun 26, 2006
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004109 GA Primary

Addresses

Primary practice location

1497 Fair Rd Ste 104
Statesboro, GA 30458-0822

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

1497 Fair Rd Ste 102
Statesboro, GA 30458
Phone (912) 486-1600

Other practice location 2

4 0 1 W Main St
Ray Clinic PC
Swainsboro, GA 30401-3110
Phone (478) 237-9928

Other identifiers 3

IdentifierTypeStateIssuer
P00316602OtherGARR MEDICARE
GRP1372MedicaidGA
877965428CMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karri.ray.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040809000462 GA Practitioner - Physician Assistant 5698747954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanuel County Hospital AuthorityGroup PAC ID 3577473040, shared by 10 NPIs, 40 clinicians
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676

125 A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 289-3190

1497 Fair Rd
Statesboro, GA 30458-0823

1497 Fair Rd
Suite 104
Statesboro, GA 30458-0822
Phone (912) 486-1558

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1482

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Medical, LLC Past Accepting new patients
Ray Clinic PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: karri.ray.1@8824.direct.athenahealth.com
  • Direct secure messaging: karri.ray@emc.gadirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1144257379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 FAIR RD STE 104",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580822",
            "telephone_number": "912-486-1600",
            "fax_number": "912-871-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1497 Fair Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "30458",
            "country_code": "US",
            "telephone_number": "912-486-1600",
            "fax_number": "912-871-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 0 1 W MAIN ST",
            "address_2": "RAY CLINIC PC",
            "address_purpose": "LOCATION",
            "city": "Swainsboro",
            "state": "GA",
            "postal_code": "304013110",
            "country_code": "US",
            "telephone_number": "478-237-9928",
            "fax_number": "478-237-4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "KARRI",
        "middle_name": "O",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00316602",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRP1372",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "877965428C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karri.ray.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1497 Fair Rd Ste 102",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.