Active NPI
Shelley Lenore Ray, CNM
- Advanced Practice Midwife
- Woodstock, GA
National Provider Identifier
1760409346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN124867
- Practice address
- 900 Towne Lake Pkwy
Ste 404
Woodstock, GA 30189-1602 - Phone
- (770) 926-9229
- Fax
- (678) 415-2164
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | RN124867 | GA | Primary |
Addresses
Primary practice location
900 Towne Lake Pkwy
Ste 404
Woodstock, GA 30189-1602
Mailing address
900 Towne Lake Pkwy
Ste 404
Woodstock, GA 30189-1602
Phone (770) 926-9229
Other practice location 1
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 297-2200
Other practice location 2
23 Tipton Dr
Dahlonega, GA 30533-1603
Phone (706) 864-0334
Other practice location 3
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 297-2200
Other practice location 4
141 Professional Dr
Baldwin, GA 30511-4000
Phone (706) 776-7470
Other practice location 5
1270 Friendship Rd
Braselton, GA 30517-5630
Phone (678) 207-4300
Other practice location 6
1400 River Pl
Braselton, GA 30517-5600
Phone (770) 297-2200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000876213A | Medicaid | GA | |
| 000876213E | Medicaid | GA | |
| 000876213F | Medicaid | GA | |
| 340885 | Other | GA | WELLCARE |
| 10045510 | Other | GA | AMERIGROUP |
Other names 1
- Shelley Burke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN124867 | GA | MD | Advanced Practice Midwife |
Interoperability endpoints
- shelley.ray@longstreetclinic.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1760409346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE 404",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891602",
"telephone_number": "770-926-9229",
"fax_number": "678-415-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TOWNE LAKE PKWY",
"address_2": "STE 404",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891602",
"telephone_number": "770-926-9229",
"fax_number": "678-415-2164"
}
],
"practiceLocations": [
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8195",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23 Tipton Dr",
"address_purpose": "LOCATION",
"city": "Dahlonega",
"state": "GA",
"postal_code": "305331603",
"country_code": "US",
"telephone_number": "706-864-0334",
"fax_number": "706-864-2245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Jesse Jewell Pkwy SE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013834",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Professional Dr",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "GA",
"postal_code": "305114000",
"country_code": "US",
"telephone_number": "706-776-7470",
"fax_number": "770-534-8388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175630",
"country_code": "US",
"telephone_number": "678-207-4300",
"fax_number": "770-533-4773",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 River Pl",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175600",
"country_code": "US",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAY",
"first_name": "SHELLEY",
"middle_name": "LENORE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN124867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000876213A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000876213E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000876213F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "340885",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10045510",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "BURKE",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.