Alyse Mary Elaine Ragauskas

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

13450 Issued in GA

Practice address

777 Hemlock Street
MSC#140
Macon, GA 31201

Phone

(478) 633-1851

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: cmcquaig446915@carolinashealthcaresystem.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2021.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1831785906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK STREET",
            "address_2": "MSC#140",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31201",
            "telephone_number": "478-633-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAUSKAS",
        "first_name": "ALYSE",
        "middle_name": "MARY ELAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "13450",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mijin Ra, MD
• Ashley Danielle Radford, RT (R) (CT) (MR)
• Radiance Anesthesia
• Radiology Associates of Macon PC
• Radiology Center of Macon LLC
• Daniela Morgan Ragins, RN,BSN, MBA
• Jillian Cindy Ragoonath
• Mohammad Mohabubur Rahman, MD
• Taylor Rain
• Aliyah Raines, M.ED., CCC-SLP

• All providers in Macon, GA
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.