Individual provider Active NPI

Hansel M Rayner, PA-C

  • Endocrinology, Diabetes & Metabolism Physician
  • McDonough, GA
National Provider Identifier
1972761732
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
9542 Issued in GA
Practice address
374 Racetrack Rd
McDonough, GA 30252-1022
Phone
(470) 317-3855
Fax
(470) 317-3855
NPI assigned
May 29, 2008
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 9542 GA Primary
Reproductive Endocrinology Physician 207VE0102X 9542 GA

Addresses

Primary practice location

374 Racetrack Rd
McDonough, GA 30252-1022

Mailing address

374 Racetrack Rd
McDonough, GA 30252-1022
Phone (470) 317-3855

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127001606 GA Practitioner - Physician Assistant 3274600309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

374 Racetrack Rd
McDonough, GA 30252-1022
Phone (470) 317-3855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9542GAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Nov 11, 2019 Accepting new patients
Aylo Health, LLC CurrentSince Nov 11, 2019 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Endocrinology, Diabetes & Metabolism PastSince Nov 1, 2019 Accepting new patients
Deseret Peak Anesthesia, LLC PastSince Mar 15, 2016 Accepting new patients
Emergency Physicians Integrated Care, LLC Past Accepting new patients
McDonough Internal Medicine PastSince Jan 12, 2025 Accepting new patients
Aylo Health, LLC Past Accepting new patients
Kidney and Internal Medicine PastSince Jan 1, 2010 Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1972761732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "470-317-3855",
            "fax_number": "470-317-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521022",
            "telephone_number": "470-317-3855",
            "fax_number": "470-317-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "HANSEL",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "9542",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "9542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.