MS. JANA KATHLEEN RAY (NPI# 1770699324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770699324 |
| Entity Type | Individual |
| Full Name | MS. JANA KATHLEEN RAY |
| Credential | MPH, PA-C |
| Practice Address |
175 Emery Hwy Macon GA 31217 |
| Mailing Address |
175 Emery Hwy Macon GA 31217-3692 |
| Practice Telephone | 4788037600 |
| Practice Fax Number | 4788038596 |
| Mailing Telephone | 4788037600 |
| Mailing Fax Number | 4788038596 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 006718 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102896 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1060096 | 01 | |
| IA | MAGELLAN OF IOWA - BROADLAWNS MEDICAL CENTER | UNKNOWN | 01 |
| GA | PHYSICIAN ASSISTANT | 6718 | 01 |
| FL | 292421800 | 05 | |
| IA | IOWA DEPT OF PUBLIC HEALTH MEDICAL LICENSE | 002087 | 01 |
| FL | FLORIDA PRESCRIBING QUALIFICATION | 00005751 | 01 |
| MN | MINNESOTA BOARD OF MEDICAL PRACTICE PHYSICIAN ASST LICENSURE (EX | 9874 | 01 |
| GA | GEORGIA COMPOSITE MEDICAL BOARD LICENSE | 006718 | 01 |
| FL | MEDICARE | U8969Z | 01 |
| FL | FLORIDA DEPT OF HEALTH PHYSICIAN ASST LICENSURE | 9102896 | 01 |
| WI | WISCONSIN DEPT OF REGULATION AND LICENSING | 1721-023 | 01 |
| MN | DEA - (MN EXPIRED 04/30/2007) | MR1113682 | 01 |
| IA | DEA (IA CURRENT) | MR2213320 | 01 |
| IA | IOWA CONTROLLED SUBSTANCE ACT LICENSE (EXPIRED) | 5101395 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Emery Hwy, Macon, GA 312173692 | 4788037600 | 4788038596 |
| 4300 Sw 13th St, Gainesville, FL 326084006 | 3523745600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669610176 | Jana Lynn Ray | Nurse Practitioner | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2009-01-22 |
| Street Address |
175 EMERY HWY |
| City | MACON |
| State | GA |
| Zip Code | 31217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512966 | River Edge Behavioral Health Center | Community/Behavioral Health | 175 Emery Hwy, Macon, GA 31217-3692 | 2005-10-14 |
| 1174139281 | Joy Anne Safo | Nurse Practitioner | 175 Emery Hwy, Macon, GA 31217-3692 | 2020-09-23 |
| 1932611316 | Brenda Cartwright | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-10-25 |
| 1306364203 | Jennifer Bramblett | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2017-08-31 |
| 1396195301 | Salena Barnes | Registered Nurse | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-06-21 |
| 1598126278 | Carol Ashley Allen | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2016-03-09 |
| 1619368255 | Shinerika Reaves | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2015-02-17 |
| 1669878195 | Shari Berndt | Social Worker | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-11-11 |
| 1205248119 | Sheree Telfair | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| 1457763351 | Minnie Dilbeck | Counselor | 175 Emery Hwy, Macon, GA 31217-3692 | 2014-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854348 | Monica Bruney | Physician Assistant | 101 Preston Ct Ste 103, Macon, GA 31210-5771 | 2020-06-04 |
| 1023677895 | Kathleen Forbes Matthews | Physician Assistant | 3735 Bonita Pl, Macon, GA 31204-1309 | 2019-06-06 |
| 1659773018 | Joseph T. Smoak | Physician Assistant | 4226 Hartley Bridge Road, Suite 104, Macon, GA 31216-4116 | 2014-09-17 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1528235397 | Emmanuel Amwenba Enoghayin | Physician Assistant | 157 Cambridge Way, Macon, GA 31220-8736 | 2008-05-12 |
| 1801000153 | Jennifer L. Hames | Physician Assistant | 771 Orange St, Macon, GA 31201-2126 | 2007-05-09 |
| 1093847840 | Betty Jo Lynn Fancher | Physician Assistant | 3711 Eisenhower Pkwy, Macon, GA 31206-3672 | 2007-03-09 |
| 1659322105 | Christopher B Kelley | Physician Assistant | 201 Oakleaf Dr, Macon, GA 31210-1924 | 2006-05-12 |
| 1275591828 | Delano Parker | Physician Assistant | 1157 Forsyth Street, Macon, GA 31201 | 2006-05-03 |
| 1609869197 | Deborah D Moore | Physician Assistant | 1157 Forsyth St, Macon, GA 31201-7452 | 2005-08-30 |
| Find all providers in MACON | ||||
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| 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.