Active NPI
Emily J Rayes-Prince, M.D.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Monroe, NC
National Provider Identifier
1487683454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 2009-01802
- Practice address
- 2208 W Roosevelt Blvd
Monroe, NC 28110-2762 - Phone
- (704) 289-9869
- NPI assigned
- Jul 2, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 33653 | KY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | KY33653 | KY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 33653 | KY | |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 2009-01802 | NC | Primary |
Addresses
Primary practice location
2208 W Roosevelt Blvd
Monroe, NC 28110-2762
Mailing address
108 Grove St
Ste 200
Worcester, MA 01605-2651
Phone (833) 963-2102
Other practice location 1
3025 Clay Street
Paducah, KY 42001-4071
Phone (270) 444-4032
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000357941 | Other | KY | BLUE CROSS |
| 64336530 | Medicaid | KY |
Other names 1
- Emily Jane Rayes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY33653 | KY | MD | Physical Medicine & Rehabilitation Physician |
| 33653 | KY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional NC, PLLC | Addiction Medicine | Current | Accepting new patients |
| Eleanor Health Professional NC, PLLC | Addiction Medicine | Past | Accepting new patients |
Locations
2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Hickory, NC
- NPI 1891349155
Addiction Medicine
-
- Psychiatry Physician
- Durham, NC
- NPI 1639718406
Addiction Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1487683454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 GROVE ST",
"address_2": "STE 200",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052651",
"telephone_number": "833-963-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102762",
"telephone_number": "704-289-9869"
}
],
"practiceLocations": [
{
"address_1": "3025 Clay Street",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420014071",
"country_code": "US",
"telephone_number": "270-444-4032",
"fax_number": "270-444-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAYES-PRINCE",
"first_name": "EMILY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2023-03-07",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "33653",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "KY33653",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "KY",
"license": "33653",
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "2009-01802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000357941",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64336530",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "RAYES",
"middle_name": "JANE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.