Robert Juran Ray, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN066728 Issued in GA

Practice address

710 N Irwin Ave
Ocilla, GA 31774-5011

Phone

(229) 468-3800

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Irwin County Anesthesia, Inc.

  • Certified Registered Nurse Anesthetist
  • Ocilla, GA
  • NPI 1275754103

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD Authorized official
• Irwin County Hospital

  • Rural Acute Care Hospital
  • Ocilla, GA
  • NPI 1720098791
  Medicare reassignment NPD

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801967120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WARD ST E",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334600",
            "telephone_number": "912-389-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N IRWIN AVE",
            "city": "OCILLA",
            "state": "GA",
            "postal_code": "317745011",
            "telephone_number": "229-468-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ROBERT",
        "middle_name": "JURAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN066728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00548028E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Paulk
• Kayla Phillips
• John D Price, PHARMD, RPH
• Pruitthealth - Ocilla, LLC (PruittHealth - Ocilla)
• Caleb Patrick Ray
• Amy Robinson
• Arturo Natada Ruanto, M.D.
• Ashfaq Saiyed, M.D.
• South Central Primary Care Center, Inc (South Central Family Health Care)
• South Central Primary Care Center, Inc (Kids Health-Ic Schools)

• Certified Registered Nurse Anesthetist in Ocilla, GA
• Providers in Ocilla, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.