JUSTIN RAY (NPI# 1255590402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255590402 |
| Entity Type | Individual |
| Full Name | JUSTIN RAY |
| Practice Address |
2014 Pinemount Blvd Statesboro GA 30461-2358 |
| Practice Telephone | 9127642995 |
| Mailing Telephone | 9127642995 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN071268 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851769103 | Justin Ray | Dentist | Navy Medicine Support Command Attn: Medical Staff Svc, Bldg H 2005 Knight Lane, Fpo, AA 32212-0140 | 2015-09-03 |
| 1801314448 | Justin Ray | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2017-09-05 |
| 1437506607 | Justin Ray | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506 | 2016-05-18 |
| 1366789679 | Justin Tyler Ray | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-01-07 |
| 1093013641 | Justin T Ray | Nurse Practitioner | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2011-03-07 |
| Street Address |
2014 PINEMOUNT BLVD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1356619613 | Statesboro Ambulatory Surgery Center, Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2011-12-01 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| Find all providers in zip 30461 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639517311 | Judy Ann Bacon | Licensed Practical Nurse | 11 Robin Hood Rd, Statesboro, GA 30458-1675 | 2013-06-04 |
| 1639338684 | Inga Demetria Paulk- Johnson | Licensed Practical Nurse | 115 Lee St, Statesboro, GA 30458-2102 | 2008-06-05 |
| 1831358894 | Barbara Nell Rooks | Licensed Practical Nurse | 4 W Altman St, Statesboro, GA 30458-5277 | 2008-06-05 |
| 1417116815 | Angela Laura Quinn | Licensed Practical Nurse | 4 W Altman St, Statesboro, GA 30458-5277 | 2008-06-02 |
| 1164680740 | Juliet S Givens | Licensed Practical Nurse | 4 W Altman St, Statesboro, GA 30458-5277 | 2008-05-30 |
| 1457519423 | Carolyn Denise Odom | Licensed Practical Nurse | 4 W Altman St, Statesboro, GA 30458-5277 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961557 | Christina Jarvis-reid | Licensed Practical Nurse | 211 Lasso Dr, Riverdale, GA 30274-4095 | 2020-10-28 |
| 1326646639 | Yolanda Glover-harden | Licensed Practical Nurse | 6214 Hickory Lane Cir, Union City, GA 30291-5509 | 2020-10-09 |
| 1831706423 | Sonia Dareus | Licensed Practical Nurse | 1495 Cain Ct N, Douglasville, GA 30134-3681 | 2020-09-28 |
| 1609482140 | Antronette Darrell | Licensed Practical Nurse | 1578 Cherry Hill Rd Sw, Conyers, GA 30094-6835 | 2020-09-21 |
| 1760097778 | Christal Latrice Callier | Licensed Practical Nurse | 1995 Matt Dr, Austell, GA 30168-4330 | 2020-09-15 |
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1689287641 | Lydia Gennie | Licensed Practical Nurse | 1004 Shoreline Dr, Bainbridge, GA 39817-8393 | 2020-08-28 |
| 1558972588 | Starla Lynn Waddell | Licensed Practical Nurse | 675a Moran Lake Rd Ne, Rome, GA 30161-2106 | 2020-08-13 |
| 1700495975 | Shalunda Harrison | Licensed Practical Nurse | 4311 Christine Ct, Decatur, GA 30035-1702 | 2020-07-23 |
| 1902414683 | Vernita Monica Washington | Licensed Practical Nurse | 1974 Talmadge Rd, Allenhurst, GA 31301-3201 | 2020-07-17 |
| Find all providers with the same taxonomy | ||||
| City | STATESBORO |
| Zip Code | 30461 |
Please comment or provide details below to improve the information on JUSTIN RAY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.