Active NPI
Kristin Ray, DO
- Family Medicine Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 99962
- Practice address
- 28 John Davenport Dr NW
Rome, GA 30165-2536 - Phone
- (706) 291-0584
- NPI assigned
- Mar 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 99962 | GA | Primary |
Addresses
Primary practice location
28 John Davenport Dr NW
Rome, GA 30165-2536
Mailing address
304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone (706) 509-3300
Other practice location 1
304 Shorter Ave NW Ste 201
Rome, GA 30165-4256
Phone (706) 509-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-4221
Phone (770) 382-0029
Hospital & facility affiliations
- Adoration Home Health
- Coosa Valley Home Health, an Amedisys
- Atrium Health Floyd Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd Healthcare Management Inc | Family Medicine | Current | Accepting new patients |
| Floyd Healthcare Management Inc | Current | Accepting new patients |
Locations
1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
304 Shorter Ave NW
Ste 201
Rome, GA 30165
Phone (706) 509-3300
28 John Davenport Dr NW
Rome, GA 30165
Phone (706) 232-1503
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
Interoperability endpoints
- kray913896@carolinashealthcaresystem.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Rome, GA
- NPI 1689610149
-
- Specialty Pharmacy
- Rome, GA
- NPI 1548056468
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Rome, GA
- NPI 1285682955
-
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
- Home Health Agency
- Cedartown, GA
- NPI 1417016452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1548848641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 SHORTER AVE NW STE 201",
"city": "ROME",
"state": "GA",
"postal_code": "301654256",
"telephone_number": "706-509-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 JOHN DAVENPORT DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652536",
"telephone_number": "706-291-0584"
}
],
"practiceLocations": [
{
"address_1": "304 Shorter Ave NW Ste 201",
"address_purpose": "LOCATION",
"city": "Rome",
"state": "GA",
"postal_code": "301654256",
"country_code": "US",
"telephone_number": "706-509-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "99962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.