Ray Mills Antley Jr., M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Morganton, NC
NPI 1679538375 · NPPES record last updated Sep 5, 2012
Key facts
- NPI
- 1679538375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 9800178 (NC)
- Practice address
- 201 E Parker Rd
Morganton, NC 28655-5107 - Phone
- (828) 433-1235
- Fax
- (828) 433-1992
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Ridge Healthcare Medical Group Inc
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
- Blue Ridge Healthcare Hospitals, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101012000179 | NC | Practitioner - Diagnostic Radiology | 0749472579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current |
Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Mary Black Health System LLC | Past | Accepting new patients | |
| Mary Black Health System LLC | Diagnostic Radiology | 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
- rantley845780@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 9800178 | NC | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89131M6 | Medicaid | NC |
Other providers in Morganton, NC
- Lisa Maria Andres
- Anesthetix of Lexington, PLLC
- Angelic Touch
- Keri Elizabeth Anthony
- Lisa Marie Antley
- Elizabeth Anne Antonelli
- Apc Holdings LLC
- Appalachian State University
- Olivia B Appling
- Archway Counseling
All providers in Morganton, NC · Diagnostic Radiology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.