Individual provider Active NPI

Glenn Jeffrey Ray

  • Certified Registered Nurse Anesthetist
  • Carrollton, GA
National Provider Identifier
1144892787
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN230986 Issued in GA
Practice address
705 Dixie St
Carrollton, GA 30117-3818
Phone
(770) 301-0858
NPI assigned
Jul 13, 2021
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN230986 GA Primary

Addresses

Primary practice location

705 Dixie St
Carrollton, GA 30117-3818

Mailing address

3115 Lancaster CT Apt a
Homewood, AL 35209-4234
Phone (770) 655-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707003238 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416316443 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentry Anesthesia Management, LLCGroup PAC ID 9436372323, 170 clinicians
WGG Anesthesia LLCGroup PAC ID 4981875325, 7 clinicians
Northern Georgia Anesthesia Associates, LLCGroup PAC ID 8527570209, 19 clinicians
Ahs Anesthesia LLCGroup PAC ID 7911169925, 7 clinicians
TMC-West Georgia Anesthesia Associates Inc.Group PAC ID 2365456308, 67 clinicians

Practice addresses (Care Compare)

1034 Haw Creek Cir
Suite 200
Cumming, GA 30041-6513
Phone (678) 381-2020

126 US Hwy 280 W
Americus, GA 31719-8645
Phone (229) 924-6011

160 Clinic Ave
Carrollton, GA 30117-4451
Phone (770) 214-2800

3280 Howell Mill Rd NW
Suite T150
Atlanta, GA 30327-4123
Phone (404) 355-3200

3968 Felton Hill SWRD
Suite 110
Smyrna, GA 30082-3522
Phone (770) 333-7888

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-7016

705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Solutions of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Woodhams Laser & Lens Implant Center LLC CurrentSince Jan 22, 2024 Accepting new patients
Sentry Anesthesia Management, LLC CurrentSince Aug 1, 2025 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jan 10, 2025 Accepting new patients
Ahs Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 19, 2024 Accepting new patients
Atlanta Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2024 Accepting new patients
Northern Georgia Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2025 Accepting new patients
Carpus Surgery Center LLC CurrentSince Jan 19, 2024 Accepting new patients
CSP Anesthesia LLC CurrentSince Jan 1, 2024 Accepting new patients
WGG Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2024 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2023 Accepting new patients
Perimeter Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Ahs Surgery Center Canton LLC PastSince Nov 5, 2016 Accepting new patients
Buford Eye Surgery Center Past Accepting new patients
Forsyth Eye Surgery Center, LLC Past Accepting new patients
Roswell Eye Surgery Center, LLC PastSince Dec 28, 2015 Accepting new patients
Ulna Surgery Center LLC PastSince Apr 3, 2017 Accepting new patients

Locations

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

3193 Howell Mill Rd NW
Ste 317
Atlanta, GA 30327
Phone (404) 603-9090

3280 Howell Mill Rd NW
Ste T150
Atlanta, GA 30327
Phone (404) 355-3200

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

201 Kimberly Way
Ste 100
Canton, GA 30114

160 Clinic Ave
Carrollton, GA 30117
Phone (770) 214-2800

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

10730 Medlock Bridge Rd
Ste 210
Johns Creek, GA 30097

600 Professional Dr
Ste 150
Lawrenceville, GA 30046
Phone (678) 376-1800

3775 Roswell Rd
Ste 175
Marietta, GA 30062

3775 Roswell Rd
Ste 275
Marietta, GA 30062

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

5505 Roswell Rd
Ste 350
Sandy Springs, GA 30342
Phone (470) 827-3648

6115 Peachtree Dunwoody Rd
Ste 230
Sandy Springs, GA 30328

3968 Felton Hill Rd SW
Ste 100
Smyrna, GA 30082
Phone (678) 214-6960

3968 Felton Hill Rd SW
Ste 110
Smyrna, GA 30082

1365 Rock Quarry Rd
Ste 301
Stockbridge, GA 30281
Phone (770) 380-8299

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

Organizations & group practices 18

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.

View all 18

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": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1144892787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LANCASTER CT APT A",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094234",
            "telephone_number": "770-655-1786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173818",
            "telephone_number": "770-301-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "GLENN",
        "middle_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN230986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.

Verify at the official NPI Registry.