| Glenn Jeffrey Ray, | |
|
705 Dixie St, Carrollton, GA 30117-3818 | |
| (770) 301-0858 | |
| Not Available |
| Full Name | Glenn Jeffrey Ray |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 705 Dixie St, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144892787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN230986 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-west Georgia Anesthesia Associates Inc. | 2365456308 | 65 |
| Atlanta Anesthesia Consultants Llc | 4486818093 | 17 |
| Greater Atlanta Anesthesia, Llc | 7315264645 | 11 |
| Ahs Anesthesia Llc | 7911169925 | 6 |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Entity Name | Anesthesia Solutions Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093035677 PECOS PAC ID: 5991998965 Enrollment ID: O20101022000244 |
| Entity Name | Wgg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578843280 PECOS PAC ID: 4981875325 Enrollment ID: O20110915000641 |
| Entity Name | Ahs Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316214604 PECOS PAC ID: 7911169925 Enrollment ID: O20120508000359 |
| Entity Name | Atlanta Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487928370 PECOS PAC ID: 4486818093 Enrollment ID: O20120612000168 |
| Entity Name | Greater Atlanta Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285043158 PECOS PAC ID: 7315264645 Enrollment ID: O20150326000819 |
| Entity Name | Perimeter Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922402445 PECOS PAC ID: 2567763048 Enrollment ID: O20151229001858 |
| Entity Name | Csp Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568946812 PECOS PAC ID: 6901147206 Enrollment ID: O20190415002910 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Jeffrey Ray, 3115 Lancaster Ct Apt A, Homewood, AL 35209-4234 Ph: (770) 655-1786 | Glenn Jeffrey Ray, 705 Dixie St, Carrollton, GA 30117-3818 Ph: (770) 301-0858 |
Colby Jon Williamson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-836-9666 | |
Brandon Gabe Graves, DNP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-812-9666 | |
Mark Schmitz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Jeffrey Dishman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 | |
Mrs. Joann L Carson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 160 Clinic Ave, Carrollton, GA 30117 Phone: 770-834-1008 Fax: 770-834-2531 | |
Jaclyn M Aldridge, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 800-232-5703 |