Kray Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KRAY MEDICAL, LLC

Practice address

6353 2ND St
Wilmer, AL 36587-4453

Phone

(251) 753-4008

NPI assigned

May 28, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Ray, MDNPI 1598831422

Title

Physician/Owner

Phone

(251) 753-4008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina E Ray, MD

  • Internal Medicine Physician
  • Wilmer, AL
  • NPI 1598831422
  Medicare reassignment Care Compare group NPD Authorized official
• Emily Williams Venatta, FNP-C, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Grand Bay, AL
  • NPI 1437501475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1871333872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 PELHAM DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366194430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 2ND ST",
            "city": "WILMER",
            "state": "AL",
            "postal_code": "365874453",
            "telephone_number": "251-753-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "251-753-4008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allen Dean, MD
• Dericka Annice Echols, RN
• Gulf Coast Counseling and Consulting LLC
• Stephanie Hautau
• Jessica Eve Kelley, LMFT
• Courtney Leann Lavender
• Lovely Talk Therapy Services, LLC
• Kristina Miller, CPNP
• R & M Drugs Inc (Rocky's Drug & Mercantile)
• Kristina E Ray, MD

• Internal Medicine Physician in Wilmer, AL
• Providers in Wilmer, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.