RAY MEDICAL CLINIC
NPI 1063832202
Clinic/Center - Rural Health in Swainsboro, GA

Q: What is Emanuel County Hospital Authority's NPI number?

The NPI number for Emanuel County Hospital Authority is 1063832202. It was assigned to this organization in the NPPES registry on April 25, 2014. The provider is doing business as Ray Medical Clinic.

Q: What is Emanuel County Hospital Authority's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since April 25, 2014CLIA 11D0260958 · Waiver

401 W MAIN ST, SWAINSBORO, GA 30401(478) 237-9928(478) 237-4517 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ray Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAY MEDICAL CLINIC (NPI 1063832202) is a healthcare organization registered as a rural health in Swainsboro, Georgia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Steve King, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063832202

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameEMANUEL COUNTY HOSPITAL AUTHORITY

Location Address401 W MAIN STSwainsboro, GA 30401-3110

Mailing AddressPo Box 879Swainsboro, GA 30401-0879 · (478) 289-1303 · Fax (478) 289-7466

Phone(478) 237-9928

Fax(478) 237-4517

Organization SubpartNo

Authorized OfficialSteve KingCfo · (478) 289-1376

Enumeration DateApril 25, 2014

Last NPPES UpdateJanuary 14, 2015

✔ NPI 1063832202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

401 W MAIN ST, Swainsboro, GA 30401

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Other Names 1

Doing Business AsRay Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0260958

Ray Medical Clinic PC · Swainsboro, GA

Active · expires Aug 31, 2026

CLIA Number11D0260958

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJames L. Ray

Laboratory Phone(912) 237-9928

Laboratory LocationRay Medical Clinic PC401 West Main Street, Swainsboro, GA 30401

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SERA GABRIELLE STORY PA-C

Physician Assistant (Medical)