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RAYLLENSONS ITACY P.A.
NPI 1174804702
Physician Assistant in Canton, GA

Active since September 09, 2011PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
2020 CUMMING HIGHWAY, SUITE 102, CANTON, GA 30115(678) 593-1295(678) 593-1294 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rayllensons Itacy P.a. NPPES

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

RAYLLENSONS ITACY P.A. (NPI 1174804702) is an individual physician assistant in Canton, Georgia, licensed in Georgia (006147) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Emory University School Of Medicine (2010).

NPPES Registry Identity

NPI1174804702
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAYLLENSONS ITACYCredential: P.A.
Location Address2020 CUMMING HIGHWAY, SUITE 102Canton, GA 30115
Mailing Address550 Peachtree St Ne, Suite 1600Atlanta, GA 30308-2212 · (404) 881-1094 · Fax (404) 874-1249
Phone(678) 593-1295
Fax(678) 593-1294
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2010
Enumeration DateSeptember 9, 2011
Last NPPES UpdateApril 5, 2016
✔ NPI 1174804702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 006147
Definition
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.
2020 CUMMING HIGHWAY, Canton, GA 30115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rayllensons Itacy P.a. 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 ID2062638042
PECOS Enrollment IDI20140728002589
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

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 Rayllensons Itacy's NPI number?

The NPI number for Rayllensons Itacy is 1174804702. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Rayllensons Itacy located?

Rayllensons Itacy practices at 2020 Cumming Highway Suite 102, Canton, GA 30115. The listed phone number is (678) 593-1295.

What is Rayllensons Itacy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rayllensons Itacy enrolled in Medicare?

Yes. Rayllensons Itacy 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.

Is Rayllensons Itacy affiliated with any hospitals?

According to CMS data, Rayllensons Itacy is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Rayllensons Itacy was last updated on April 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.