Active NPI
Central Georgia Adrenal and Reproductive Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- McDonough, GA
National Provider Identifier
1174335145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- CENTRAL GEORGIA ADRENAL AND REPRODUCTIVE ENDOCRINOLOGY
- Practice address
- 374 Racetrack Rd
McDonough, GA 30252-1022 - Phone
- (801) 657-8137
- Fax
- (801) 657-8137
- NPI assigned
- Jan 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hansel Mark Rayner, PA-C
- Title
- Owner
- Phone
- (470) 317-3855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary | ||
| Ambulatory Fertility Facility | 261QA0006X |
Addresses
Primary practice location
374 Racetrack Rd
McDonough, GA 30252-1022
Mailing address
121 Lighthorse Blvd
McDonough, GA 30252-2998
Phone (801) 657-8137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
374 Racetrack Rd
McDonough, GA 30252
Phone (470) 317-3855
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- McDonough, GA
- NPI 1972761732
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1033111349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737676800000",
"number": "1174335145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 LIGHTHORSE BLVD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302522998",
"telephone_number": "801-657-8137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "801-657-8137",
"fax_number": "801-657-8137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL GEORGIA ADRENAL AND REPRODUCTIVE ENDOCRINOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A",
"authorized_official_last_name": "RAYNER",
"authorized_official_first_name": "HANSEL",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-317-3855",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA0006X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Fertility Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.