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WALTER SHANNON RAY PAC
NPI 1710081989
Physician Assistant in Douglas, GA

Active since September 11, 2006PECOS Enrolled
100 DOCTORS DR, STE 103, DOUGLAS, GA 31533(912) 383-9789(912) 383-9435 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Walter Shannon Ray Pac NPPES

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

WALTER SHANNON RAY PAC (NPI 1710081989) is an individual physician assistant in Douglas, Georgia, licensed in Georgia (003211) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710081989
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWALTER SHANNON RAYCredential: PAC
Location Address100 DOCTORS DR, STE 103Douglas, GA 31533-2210
Mailing Address100 Doctors Dr, Ste 103Douglas, GA 31533-2210 · (912) 383-9789 · Fax (912) 383-9435
Phone(912) 383-9789
Fax(912) 383-9435
Sole ProprietorNo
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 23, 2010
✔ NPI 1710081989 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 · 003211
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.
100 DOCTORS DR, Douglas, GA 31533
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Other Identifiers 2

Medicaid100002000AGA
Medicare ID-Type Unspecified97BBHFH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Shannon Ray Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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 17

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

CRH PHYSICIAN PRACTICES LLC
Otolaryngology
100 DOCTORS DR, SUITE 201
DOUGLAS, GA 31533
Coffee County (912) 383-7976
MRS. AMY M BOOTH PTA
Physical Therapy Assistant
100 DOCTORS DR, SUITE 105
DOUGLAS, GA 31533
Coffee County (912) 383-5645
BRIAN KEITH CHILDERS MD
Pediatrics
100 DOCTORS DR, SUITE 104
DOUGLAS, GA 31533
Coffee County (912) 383-4352
THE KID DOCTOR PC
Pediatrics
100 DOCTORS DR, SUITE 104
DOUGLAS, GA 31533
Coffee County (912) 383-4352
CRH PHYSICIAN PRACTICES LLC
Family Medicine
100 DOCTORS DR, STE 101
DOUGLAS, GA 31533
Coffee County (912) 389-1558
CRH VENTURES INC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
100 DOCTORS DR
DOUGLAS, GA 31533
Coffee County (912) 383-5655
DR. LAURA L THARP M.D.
Orthopaedic Surgery
100 DOCTORS DR, SUITE 204
DOUGLAS, GA 31533
Coffee County (912) 383-6575
DR. NICOLE YLONNE PAYNE M.D.
Physical Medicine & Rehabilitation
100 DOCTORS DR, SUITE I
DOUGLAS, GA 31533
Coffee County (912) 383-6575

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 Walter Ray's NPI number?

The NPI number for Walter Ray is 1710081989. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Walter Ray located?

Walter Ray practices at 100 Doctors Dr Ste 103, Douglas, GA 31533. The listed phone number is (912) 383-9789.

What is Walter Ray's specialty?

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

Is Walter Ray enrolled in Medicare?

Yes. Walter Ray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Ray was last updated on March 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.