Active NPI
Joann Ray Webster, M.D.
- Ophthalmology Physician
- Saint Marys, GA
National Provider Identifier
1205962065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 47512
- Practice address
- 214 Professional Cir
Unit a
Saint Marys, GA 31558-3733 - Phone
- (912) 576-1015
- Fax
- (904) 321-2685
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 47512 | GA | Primary |
Addresses
Primary practice location
214 Professional Cir
Unit a
Saint Marys, GA 31558-3733
Mailing address
944A Kings Bay Road
#121
Saint Marys, GA 31558
Phone (912) 576-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00838802A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47512 | GA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205962065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944A KINGS BAY ROAD",
"address_2": "#121",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "31558",
"telephone_number": "912-576-1015",
"fax_number": "904-321-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 PROFESSIONAL CIR",
"address_2": "UNIT A",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583733",
"telephone_number": "912-576-1015",
"fax_number": "904-321-2685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY WEBSTER",
"first_name": "JOANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "47512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00838802A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.