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Active NPI 1710081989 Individual Practitioner Male Practitioner

Walter Shannon Ray , PA-C

Physician Assistant • Douglas, GA

Professional Overview & Biography Verified Profile Summary

Walter Ray, PA-C is a registered healthcare professional specializing in Physician Assistant in Douglas, GA. Practice services are available at 100 DOCTORS DR under active NPI credentials.

Frequently performed procedures and clinical services include harvest of veins for coronary artery bypass procedure using an endoscope, coronary artery bypass using artery graft, 1 graft, removal of blood clot and portion of artery of neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Doctors Dr
Ste 103

Douglas, GA 315332210

Telephone 9123839789
Fax 9123839435
Associated Practice Facility / Clinic
🏢 Crh Orthopedic Clinic, Llc Facility NPI 1992747539

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Douglas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Douglas, GA (4726 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
33508 Harvest of veins for coronary artery bypass procedure using an endoscope
21 21 $9.10 $2.24
33533 Coronary artery bypass using artery graft, 1 graft
13 13 $1162.26 $249.01
35301 Removal of blood clot and portion of artery of neck
12 12 $623.53 $151.97

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 003211

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100002000A (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Joel Hernandez , PA-C

Physician Assistant - Surgical

NPI 1902202468

Physician Assistant (Certified)

Dr. James Barber , MD

Orthopaedic Surgery

NPI 1932198686

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 23, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2010

Registered at 100 DOCTORS DR, STE 103, DOUGLAS, GA 315332210 (Tel: 9123839789)

📍
Updated Business Mailing Address March 23, 2010

Registered at 100 DOCTORS DR, STE 103, DOUGLAS, GA 315332210 (Tel: 9123839789)

👤
Provider Name / Credentials Updated March 23, 2010

Recorded as WALTER RAY, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2010

Physician Assistant (License #003211 in GA)

🟢
Initial NPI Registration & Enumeration September 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710081989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2006
Last Update: March 23, 2010
Sole Proprietor: No

Mailing Address

100 Doctors Dr, Ste 103

Douglas, GA 315332210

Phone: 9123839789

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.