GLENN JEFFREY RAY – Registered Nurse, NPI 1144892787

GLENN JEFFREY RAY is a healthcare provider. based in Homewood, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN230986 (GA). The NPI Number for GLENN JEFFREY RAY is 1144892787

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
GLENN JEFFREY RAY
NPI
1144892787
Phone
(770) 655-1786
Address
3115 LANCASTER CT APT A
Enumeration Date
13 July 2021
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703337888
Graduation Year
2023 (3 years ago)
PAC ID
7416316443
Group Practice PAC ID
7911169925
Professional Enrollment ID
I20230707003238
Address ID
GA300823522SM3968XSWRD402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for GLENN JEFFREY RAY

  • 3115 LANCASTER CT APT A

    HOMEWOOD, AL 352094234

    Phone: (770) 655-1786

    Type: Mailing

  • 705 DIXIE ST

    CARROLLTON, GA 301173818

    Phone: (770) 301-0858

    Type: Location

  • 800 LAKESHORE DR

    BIRMINGHAM, AL 352290002

    Phone: (205) 726-2401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($21).

Total Amount

$95

General + Research + Ownership

Payments

5

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230707003238ICertified Registered Nurse Anesthetist (Crna)GATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911169925View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PR
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What identifier follows GLENN JEFFREY RAY across health systems?
The NPI 1144892787 uniquely identifies GLENN JEFFREY RAY in U.S. healthcare data.
Is GLENN JEFFREY RAY's NPI status active today?
Active status means GLENN JEFFREY RAY's NPI record is not deactivated in the public file.
What services align with GLENN JEFFREY RAY's listing?
GLENN JEFFREY RAY's public classification highlights Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GLENN JEFFREY RAY?
GLENN JEFFREY RAY is associated with Homewood, Alabama in the same public data insurers reference.
Who maintains GLENN JEFFREY RAY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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