Active NPI
James L Ray, MD
- Family Medicine Physician
- Swainsboro, GA
National Provider Identifier
1679523419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16126
- Practice address
- 401 W Main St
Swainsboro, GA 30401-3110 - Phone
- (478) 237-9928
- Fax
- (478) 237-4517
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
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.
-
- Rural Acute Care Hospital
- Swainsboro, GA
- NPI 1235129214
-
- Specialist
- Statesboro, GA
- NPI 1518902147
-
- Nursing Facility/Intermediate Care Facility
- Swainsboro, GA
- NPI 1760472476
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Nursing Facility/Intermediate Care Facility
- Swainsboro, GA
- NPI 1760472476
Nursing home
-
- Community Based Hospice Care Agency
- Vidalia, GA
- NPI 1497832844
Hospice
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Vidalia Immediate and Primary Care LLC
Practice addresses (Care Compare)
122 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone (912) 805-2273
Hospital & facility affiliations
- Community Hospice
- Pruitthealth Hospice-Swainsboro
- Emanuel Medical Center
- Emanuel County Nursing Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000285 | GA | Practitioner - Family Practice | 7911912415 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16126 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidalia Immediate & Primary Care LLC | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Emanuel County Hospital Authority | Current | Accepting new patients | |
| Cardiovascular Associates of Eastern Georgia | Past | Accepting new patients | |
| Emanuel County Hospital Authority | Past | Accepting new patients |
Locations
117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725
401 W Main St
Swainsboro, GA 30401
Phone (478) 237-9928
122 Alice Coleman Dr
Vidalia, GA 30474
Phone (912) 805-2273
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GICFDD
- james.ray@emc.gadirect.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16126 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 W Main St
Swainsboro, GA 30401-3110
Mailing address
PO Box 1330
Swainsboro, GA 30401-1330
Phone (478) 237-9928
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032820 | Other | GA | BCBS |
| 00012889A | Medicaid | GA | |
| 406081105 | Other | GA | RR MEDICARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 17, 2010.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1679523419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1330",
"city": "SWAINSBORO",
"state": "GA",
"postal_code": "304011330",
"telephone_number": "478-237-9928",
"fax_number": "478-237-4517"
},
{
"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",
"fax_number": "478-237-4517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "16126",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "032820",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00012889A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "406081105",
"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 Feb 17, 2010; 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.