Organization Active NPI

Ras Medical Solution, LLC

  • Clinical Medical Laboratory
  • Fayetteville, GA
National Provider Identifier
1184239154
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RAS MEDICAL SOLUTION, LLC
Practice address
107 Highland Dr
Fayetteville, GA 30214-5415
Phone
(877) 402-6819
NPI assigned
Sep 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Steven Hugh Bailey, MDNPI 1083818926
Title
Owner
Phone
(877) 402-6819

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

107 Highland Dr
Fayetteville, GA 30214-5415

Mailing address

107 Highland Dr
Fayetteville, GA 30214-5415
Phone (877) 402-6819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210125000765 GA Part B Supplier - Clinic/Group Practice 2668886151 Receives reassigned benefits from 1 practitioner
Practice locations: Riverdale, GA
O20230619000736 GA Part B Supplier - Independent Clinical Laboratory 2668886151 Practice locations: Fayetteville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2189810Ras Medical Solution107 Highland Drive, Fayetteville, GA 30214RegistrationOct 6, 2026

National Provider Directory

National Provider Directory

Locations

5305 Fulton Industrial Blvd SW
Ste C
Atlanta, GA 30336

107 Highland Dr
Fayetteville, GA 30214
Phone (877) 402-6819

7183 Highway 85
Riverdale, GA 30274
Phone (877) 402-6819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1184239154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145415",
            "telephone_number": "877-402-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HIGHLAND DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302145415",
            "telephone_number": "877-402-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAS MEDICAL SOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-402-6819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.