Individual provider Active NPI

Ray L Howell, MD,MBA,FACOG,FICS

  • Gynecology Physician
  • Rincon, GA
National Provider Identifier
1366584500
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
034161 Issued in GA
Practice address
110 Goshen Rd
Rincon, GA 31326-5744
Phone
(912) 826-5239
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 034161 GA Primary

Addresses

Primary practice location

110 Goshen Rd
Rincon, GA 31326-5744

Mailing address

PO Box 818
Springfield, GA 31329-0818
Phone (912) 754-0380

Other practice location 1

5900 Hillandale Dr
Suite 255
Lithonia, GA 30058-3802
Phone (770) 593-8866

Other practice location 2

5900 Hillandale Dr
Suite 255
Lithonia, GA 30058-3802
Phone (770) 593-8866

Other practice location 3

459 Highway 119 S
Springfield, GA 31329-3021
Phone (912) 754-0182

Other identifiers 2

IdentifierTypeStateIssuer
034161OtherGALICENSE
00470874BMedicaidGA

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
Master of Business Administration, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366584500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 818",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290818",
            "telephone_number": "912-754-0380",
            "fax_number": "912-754-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GOSHEN RD",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265744",
            "telephone_number": "912-826-5239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Hillandale Dr",
            "address_2": "SUITE 255",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300583802",
            "country_code": "US",
            "telephone_number": "770-593-8866",
            "fax_number": "404-501-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Hillandale Dr",
            "address_2": "SUITE 255",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300583802",
            "country_code": "US",
            "telephone_number": "770-593-8866",
            "fax_number": "404-501-8270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-754-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "RAY",
        "middle_name": "L",
        "credential": "MD,MBA,FACOG,FICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "034161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "034161",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470874B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.