GLENN JEFFREY RAY
NPI 1144892787
Nurse Anesthetist, Certified Registered in Carrollton, GA

Active since July 13, 2021Accepts Medicare Assignment
705 DIXIE ST, CARROLLTON, GA 30117(770) 301-0858 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 24, 2023, Jul 13, 2021 (2 updates tracked since 2021).

About Glenn Jeffrey Ray NPPES

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

GLENN JEFFREY RAY (NPI 1144892787) is an individual nurse anesthetist, certified registered in Carrollton, Georgia, licensed in Georgia (RN230986) and active in the NPI registry since July 2021. He is affiliated with Tanner Medical Center - Carrollton and is a graduate of Other (2023).

NPPES Registry Identity

NPI1144892787
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGLENN JEFFREY RAY
Location Address705 DIXIE STCarrollton, GA 30117-3818
Mailing Address3115 Lancaster Ct Apt AHomewood, AL 35209-4234 · (770) 655-1786
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 13, 2021
Last NPPES UpdateMay 24, 20232 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1144892787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · RN230986
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
705 DIXIE ST, Carrollton, GA 30117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenn Jeffrey Ray is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416316443
PECOS Enrollment IDI20230707003238

Medicare Billing Reassignments

10

Medicare enrollment records show Glenn Ray reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
705 DIXIE ST
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 121 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
160 CLINIC AVE
Carrollton, GA 30117
  • Reassigned Medicare billing, Georgia enrollment
  • 42 clinicians in this Medicare group
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3968 FELTON HILL RD SW, 100
Smyrna, GA 30082
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3280 HOWELL MILL RD NW STE T150
Atlanta, GA 30327
  • Reassigned Medicare billing, Georgia enrollment
  • 38 clinicians in this Medicare group
Anesthesiology
95 COLLIER RD NW, SUITE 4075
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 83 clinicians in this Medicare group
Ambulatory Surgical
1140 HAMMOND DR NE, E5100
Atlanta, GA 30328
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Atlanta Anesthesia Consultants LLC
  • 37 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 60 clinicians in this Medicare group
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 66 clinicians in this Medicare group
Anesthesiology
130 E MAIN ST STE 200
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 70 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
28 services25 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
20 services20 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Southeastern Regional Medical Center, Inc

Acute Care Hospitals · Newnan, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110233
Location600 Celebrate Life Parkway NorthNewnan, GA 30265 · Coweta County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Pathology (Anatomic Pathology & Clinical Pathology)
705 DIXIE ST
CARROLLTON, GA 30117
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Health Educator
705 DIXIE ST
CARROLLTON, GA 30117
Nurse Practitioner (Family)
705 DIXIE ST
CARROLLTON, GA 30117
Anesthesiology
705 DIXIE ST
CARROLLTON, GA 30117
Registered Nurse
705 DIXIE ST
CARROLLTON, GA 30117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Ray's NPI number?

The NPI number for Glenn Ray is 1144892787. It was assigned to this individual provider in the NPPES registry on July 13, 2021.

Where is Glenn Ray located?

Glenn Ray practices at 705 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 301-0858.

What is Glenn Ray's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Glenn Ray enrolled in Medicare?

Yes. Glenn Ray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Glenn Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Ray reassigns Medicare benefits to 10 organizations: Tmc-West Georgia Anesthesia Associates Inc. (Carrollton, GA), Wgg Anesthesia, LLC (Carrollton, GA), Sentry Anesthesia Management, LLC (Newnan, GA), Ahs Anesthesia LLC (Smyrna, GA), Northern Georgia Anesthesia Associates, LLC (Atlanta, GA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Ray accept?

Health plans from Alliant Health Plans, Inc., Oscar Health and Oscar Insurance Company list Glenn Ray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Glenn Ray affiliated with any hospitals?

According to CMS data, Glenn Ray is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Southeastern Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Glenn Ray was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.