EVELYN RAY LLC (NPI# 1700438587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700438587 |
| Entity Type | Organization |
| Organization Name | EVELYN RAY LLC |
| Practice Address |
12570 Lakeside Pkwy Fayetteville GA 30215-4002 |
| Practice Telephone | 4049469949 |
| Mailing Telephone | 4049469949 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | TAMI WILLIAMS (OWNER) |
| Authorized Official Telephone | 4049569949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Evelyn Ray Hair Co. | Doing Business As Name - Organization |
| Street Address |
12570 LAKESIDE PKWY |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30215-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1104343839 | Pandora G Brown | Specialist | 65 Black Watch Ct, Fayetteville, GA 30215 | 2017-08-23 |
| 1902264492 | Ty-re Lamont Dixon Sr. | Durable Medical Equipment & Medical Supplies | 220 Shoreline Dr., Fayetteville, GA 30215 | 2016-01-29 |
| 1962870030 | Matthew Christian Alvarez | Dentist | 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 | 2015-09-08 |
| 1831534346 | Kevin Tyler Goelz | Radiology | 605 Wentworth Ct, Fayetteville, GA 30215 | 2013-05-10 |
| 1518249739 | William J. Holcomb | Pharmacist | 880 Hwy 85 South, Fayetteville, GA 30215 | 2011-09-14 |
| 1407168131 | All Care Home Health Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1000 Cooper Circle, Suite 201, Fayetteville, GA 30215 | 2010-07-10 |
| 1083854160 | Rachel Blanks | Licensed Practical Nurse | 170 Brookwood Lane, Fayetteville, GA 30215 | 2009-03-02 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1174700769 | Katheryn D. Mcdonell | Counselor | 110 Dawn Drive, Fayetteville, GA 30215 | 2008-01-25 |
| Find all providers in zip 30215 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 1548886450 | Care Medical Atlanta LLC | Durable Medical Equipment & Medical Supplies | 122 Robinson Ct, Fayetteville, GA 30214-6935 | 2020-06-17 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1154961472 | Zion Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 315, Fayetteville, GA 30214-7727 | 2020-01-14 |
| 1497314249 | Dme By Preventive Health Care Usa LLC | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 211, Fayetteville, GA 30214-7726 | 2019-06-06 |
| 1235696543 | Medic Rental Inc | Durable Medical Equipment & Medical Supplies | 3533 N Shiloh Dr Ste 4, Fayetteville, AR 72703-5317 | 2019-02-22 |
| 1720558893 | Broadband Innovation Group | Durable Medical Equipment & Medical Supplies | 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491 | 2018-11-30 |
| 1508340464 | American Access and Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1107 Four Wood Dr, Fayetteville, NC 28312-7227 | 2018-09-17 |
| 1629568506 | Kimberly Mcgaughey | Durable Medical Equipment & Medical Supplies | 1430 N Bernice Dr, Fayetteville, AR 72703-6084 | 2018-05-16 |
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30215 |
Please comment or provide details below to improve the information on EVELYN RAY LLC.
| 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.