Individual provider Active NPI

Ray Mills Antley Jr., M.D.

  • Diagnostic Radiology Physician
  • Morganton, NC
National Provider Identifier
1679538375
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9800178 Issued in NC
Practice address
201 E Parker Rd
Morganton, NC 28655-5107
Phone
(828) 433-1235
Fax
(828) 433-1992
NPI assigned
Apr 18, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9800178 NC Primary

Addresses

Primary practice location

201 E Parker Rd
Morganton, NC 28655-5107

Mailing address

201 E Parker Rd
Morganton, NC 28655-5107
Phone (828) 433-1235

Other identifiers 1

IdentifierTypeStateIssuer
89131M6MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000179 NC Practitioner - Diagnostic Radiology 0749472579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1766 Connelly Springs Rd
Lenoir, NC 28645-7827
Phone (828) 728-8224

2134 14TH Ave Cir NW
Suite D
Hickory, NC 28601-7358
Phone (828) 580-1235

2201 S Sterling St
Morganton, NC 28655-4044
Phone (828) 580-6753

2293 Sugar Hill Rd
Marion, NC 28752-7787

695 W Fleming Dr
Morganton, NC 28655-4450
Phone (828) 580-3278

720 Malcolm Blvd
Suite 400
Valdese, NC 28690-2872
Phone (828) 580-7620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 20, 2012 Accepting new patients
Blue Ridge Healthcare Medical Group Inc Diagnostic Radiology CurrentSince Aug 20, 2012 Accepting new patients
Mary Black Health System LLC Diagnostic Radiology Past Accepting new patients
Mary Black Health System LLC Past Accepting new patients

Locations

2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236

2293 Sugar Hill Rd
Ste G
Marion, NC 28752
Phone (828) 580-1307

201 E Parker Rd
Morganton, NC 28655
Phone (828) 433-1206

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

695 W Fleming Dr
Morganton, NC 28655
Phone (828) 580-3278

Interoperability endpoints

  • Direct secure messaging: rantley845780@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1679538375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555107",
            "telephone_number": "828-433-1235",
            "fax_number": "828-433-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PARKER RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555107",
            "telephone_number": "828-433-1235",
            "fax_number": "828-433-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTLEY",
        "first_name": "RAY",
        "middle_name": "MILLS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9800178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131M6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.