Individual provider Active NPI

Sydney P Ray, CNM

  • Midwife
  • Forest, VA
National Provider Identifier
1255820791
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
0024180920 Issued in VA
Practice address
2007 Graves Mill Rd
Forest, VA 24551-2656
Phone
(434) 385-8948
NPI assigned
May 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP09918 LA
Midwife 176B00000X 0024180920 VA Primary

Addresses

Primary practice location

2007 Graves Mill Rd
Forest, VA 24551-2656

Mailing address

224 Norfolk Ave
Lynchburg, VA 24503-4418
Phone (601) 916-2385

Other practice location 1

2700 Napoleon Ave
New Orleans, LA 70115-6914
Phone (504) 899-9311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514000614 VA Practitioner - Certified Nurse Midwife (CNM) 2163787805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
0024180920VAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince May 1, 2021 Accepting new patients
Centra Medical Group, LLC PastSince Oct 1, 2023 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

800 Oak St
Farmville, VA 23901
Phone (434) 315-2530

2007 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-8948

800 5th St
Lynchburg, VA 24504
Phone (434) 200-3366

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

905 Lakeside Dr
#A
Lynchburg, VA 24501
Phone (434) 385-8948

1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1255820791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 NORFOLK AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034418",
            "telephone_number": "601-916-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 GRAVES MILL RD",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512656",
            "telephone_number": "434-385-8948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Napoleon Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701156914",
            "country_code": "US",
            "telephone_number": "504-899-9311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "SYDNEY",
        "middle_name": "P",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "LA",
            "license": "AP09918",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "0024180920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest, VA

Sources for this page

Verify at the official NPI Registry.