NPIMap

Organization Active NPI

Ray Clinic PC

  • Family Medicine Physician
  • Swainsboro, GA
National Provider Identifier
1629130109
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16126 Issued in GA
Legal business name
RAY CLINIC PC
Practice address
401 W Main St
Swainsboro, GA 30401-3110
Phone
(478) 237-9928
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Dr. James L Ray, MD
Title
President
Phone
(478) 237-9928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 16126 GA Primary

Addresses

Primary practice location

401 W Main St
Swainsboro, GA 30401-3110

Mailing address

401 W Main St
Swainsboro, GA 30401-3110
Phone (478) 237-9928

Other identifiers 1

IdentifierTypeStateIssuer
00012889AMedicaidGA

National Provider Directory

National Provider Directory

Locations

401 W Main St
Swainsboro, GA 30401
Phone (478) 237-9928

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1629130109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013110",
            "telephone_number": "478-237-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013110",
            "telephone_number": "478-237-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-237-9928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "16126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00012889A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.