Anna Victoria Ray

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

4041 Glen Laurel Dr N
Valdosta, GA 31605-6105

Phone

(770) 891-1764

NPI assigned

Aug 8, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1508697939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 GLEN LAUREL DR N",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056105",
            "telephone_number": "770-891-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 GLEN LAUREL DR N",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056105",
            "telephone_number": "770-891-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Duhwan Rasmussen, DMD
• Kim Rasmussen, APRN-C
• Jesse Aaron Raszewski, DO, MS
• Srujitha Ravuri, MD
• Cathy Renee Rawlings, LCSW
• Lee A Raymond
• Katheryn Reagan, CCC-SLP
• Ronald Kelley Reagin Jr., D.M.D.
• Sarah Grace Reaves, M.ED, CF-SLP
• Recharged Wellness Club LLC

• Contractor in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.