KATHRYN WRAY
NPI 1407664238
Physician Assistant in Atlanta, GA

Active since December 26, 2024PECOS EnrolledAccepts Medicare Assignment
980 JOHNSON FY RD NE STE 1040, ATLANTA, GA 30342(770) 292-3490 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2025, Dec 26, 2024 (2 updates tracked since 2024).

About Kathryn Wray NPPES

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

KATHRYN WRAY (NPI 1407664238) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12958) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407664238
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN WRAY
Location Address980 JOHNSON FY RD NE STE 1040Atlanta, GA 30342-1609
Mailing Address616 Marriott DrNashville, TN 37214-5048
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 26, 2024
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1407664238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in GA · 12958 Licensed in GA · 1407664238
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.
980 JOHNSON FY RD NE STE 1040, Atlanta, GA 30342

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

Kathryn Wray 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 ID8729591607
PECOS Enrollment IDI20250702003977
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.

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Acute Care)
980 JOHNSON FY RD NE STE 1040
ATLANTA, GA 30342

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 Kathryn Wray's NPI number?

The NPI number for Kathryn Wray is 1407664238. It was assigned to this individual provider in the NPPES registry on December 26, 2024.

Where is Kathryn Wray located?

Kathryn Wray practices at 980 Johnson Fy Rd NE Ste 1040, Atlanta, GA 30342. The listed phone number is (770) 292-3490.

What is Kathryn Wray's specialty?

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

Is Kathryn Wray enrolled in Medicare?

Yes. Kathryn Wray 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 Kathryn Wray affiliated with any hospitals?

According to CMS data, Kathryn Wray is affiliated with Northside Hospital.

When was this NPI record last updated?

The NPPES record for Kathryn Wray was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.