Ray B. Paris, M.D.

Individual provider Active NPI Family Medicine Physician · Barnesville, GA

NPI 1285668574 · NPPES record last updated Jun 7, 2016

Key facts

NPI
1285668574
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
19855 (GA)
Practice address
101 Commerce PL
Suite 1
Barnesville, GA 30204-1680
Phone
(770) 358-4408
Fax
(770) 358-0002
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19855GAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19855 GA Yes

Addresses

Primary practice location

101 Commerce PL
Suite 1
Barnesville, GA 30204-1680

Mailing address

643 Main St
Palmetto, GA 30268-1138
Phone (404) 929-8824

Other identifiers

IdentifierTypeStateIssuer
080031158OtherGARAIL ROAD MEDICARE
00160135GMedicaidGA
000160135IMedicaidGA
000160135JMedicaidGA

Other providers in Barnesville, GA

All providers in Barnesville, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.