Richard Brown Ray Jr., PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R865840 Issued in MS

Practice address

3413 Washington Ave
Gulfport, MS 39507-3039

Phone

(228) 206-7780

Fax

(228) 206-7803

NPI assigned

Nov 13, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Magee General Hospital Hospital, Magee, MS, CCN 250124

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Systems Management LLC

  dba Rankin Rural Medical Clinic

  • Rural Health Clinic/Center
  • Richland, MS
  • NPI 1740555267
  Medicare reassignment Care Compare group NPD
• Behavioral Consultant Solutions, LLC

  • Clinical Social Worker
  • Biloxi, MS
  • NPI 1275282311

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Mindful Matters

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1477003028
  Medicare reassignment
• North Plantation

  dba Mindful Matters

  • Child & Adolescent Psychiatry Physician
  • Gulfport, MS
  • NPI 1639620560
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Magee Benevolent Association

  dba Magee General Hospital

  • General Acute Care Hospital
  • Magee, MS
  • NPI 1679553994
  Care Compare affiliation

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1306147947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 WASHINGTON AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073039",
            "telephone_number": "228-206-7803",
            "fax_number": "228-206-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 WASHINGTON AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073039",
            "telephone_number": "228-206-7780",
            "fax_number": "228-206-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "RICHARD",
        "middle_name": "BROWN",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-13",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R865840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christiana Ratcliff, RN
• Tejasvitaa Ravilla Sridhar, MBBS
• Ravish Hair Extensions, LLC
• Ayanna Aleise Rawls
• Ashley Ray, NP
• Bailee Rayborn, DNP, FNP-BC
• Kimberly P. Rayborn, NPC
• Holly Raymond, DMD
• RBC Medical Services PLLC
• Jamie Read

• Psychiatric/Mental Health Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.