Individual provider Active NPI

Shelley H Ray, M.D.

  • Dermatology Physician
  • Oxford, AL
National Provider Identifier
1447259643
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.23813 Issued in AL
Practice address
1419 Hamric Dr E Ste 101
Oxford, AL 36203-2174
Phone
(256) 235-3660
Fax
(256) 235-3663
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD.23813 AL Primary

Addresses

Primary practice location

1419 Hamric Dr E Ste 101
Oxford, AL 36203-2174

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

2050 Village Dr Ste 2
Leeds, AL 35094-1107
Phone (205) 517-7513

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Shelley.Ray@forefrontdermatology.emadirect.md
Direct Messaging Address Shelley.Ray@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000904 AL Practitioner - Dermatology 7911930284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1419 Hamric Dr E
Suite 101
Oxford, AL 36203-2174
Phone (256) 235-3660

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134
Removal of skin lesions1061
Removal or shaving of skin growth17
Skin biopsy769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.23813ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 13, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 13, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2050 Village Dr
#2
Leeds, AL 35094
Phone (205) 517-7513

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

1419 Hamric Dr E
Ste 101
Oxford, AL 36203
Phone (256) 235-3660

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1447259643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E STE 101",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032174",
            "telephone_number": "256-235-3660",
            "fax_number": "256-235-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Village Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Leeds",
            "state": "AL",
            "postal_code": "350941107",
            "country_code": "US",
            "telephone_number": "205-517-7513",
            "fax_number": "205-413-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "SHELLEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.23813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelley.Ray@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2050 Village Dr Ste 2",
            "city": "Leeds",
            "state": "AL",
            "country_code": "US",
            "postal_code": "350941107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Shelley.Ray@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1419 Hamric Dr E Ste 101",
            "city": "Oxford",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362032174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.