Individual provider Active NPI

Carolyn Ray, MD

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1376030171
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
98910 Issued in GA
Practice address
790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone
(770) 405-2976
NPI assigned
Apr 17, 2018
Last updated
Aug 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101274178 VA
Diagnostic Radiology Physician 2085R0202X 98910 GA Primary

Addresses

Primary practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157

Other practice location 1

652 Peter Jefferson Pkwy Ste 200
Charlottesville, VA 22911-8849
Phone (434) 924-9333

Other practice location 2

1215 Lee St
Charlottesville, VA 22908-0001
Phone (434) 924-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230705003069 VA Practitioner - Diagnostic Radiology 0547597684 Reassigns benefits to 2 organizations
I20240729001700 GA Practitioner - Diagnostic Radiology 0547597684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

790 Church St NE
Suite 400
Marietta, GA 30060-8957
Phone (770) 952-8899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Synergy Radiology, LLC CurrentSince Aug 6, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Apr 25, 2024 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Aug 6, 2024 Accepting new patients
Pro Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
University of Virginia Physicians Group CurrentSince Jul 1, 2023 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology Current Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 18, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 18, 2024 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Jul 30, 2024 Accepting new patients
University of Virginia Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Apr 18, 2024 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 3, 2024 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Aug 6, 2024 Accepting new patients

Locations (25 of 65)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (770) 428-4486

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

144 Bill Carruth Pkwy
Hiram, GA 30141

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

1120 Wellstar Way
Holly Springs, GA 30114

3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1376030171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608957",
            "telephone_number": "770-405-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "652 Peter Jefferson Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229118849",
            "country_code": "US",
            "telephone_number": "434-924-9333",
            "fax_number": "434-924-5672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080001",
            "country_code": "US",
            "telephone_number": "434-924-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "CAROLYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101274178",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "98910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.