DONALD RAY JR. CORNUTT (MD) – Anesthesiology Physician, NPI 1538154083

DONALD RAY JR. CORNUTT (MD) is a healthcare provider. based in Marietta, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 032896 (GA). The NPI Number for DONALD RAY JR. CORNUTT (MD) is 1538154083

Main info

Male
Sole Proprietor
40 Years Of Experience
Name
DONALD RAY JR. CORNUTT (MD)
NPI
1538154083
Phone
(470) 644-1274
Address
2540 Windy Hill Rd SE
Enumeration Date
12 September 2005
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
7709790200
Graduation Year
1986 (40 years ago)
PAC ID
6002865359
Group Practice PAC ID
6608123724
Professional Enrollment ID
I20140930001936
Address ID
GA300782195SN1700XWAYX300

Contacts

Secure Messaging
dcornutt515078@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,330 ANESTHESIOLOGY in GA

Provider Addresses for DONALD RAY JR. CORNUTT (MD)

  • 2540 Windy Hill Rd SE

    Marietta, GA 300678605

    Phone: (470) 644-1274

    Type: Location

  • 1072 WOODRUFF PLANTATION CT SE

    MARIETTA, GA 300679100

    Phone: (404) 354-0156

    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 $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Inari Medical, Inc. ($189).

Total Amount

$407

General + Research + Ownership

Payments

5

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110907001495IAnesthesiologyALTBD
I20140930001936IAnesthesiologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00104Anesthesia for electroshock therapy1711$0
00811Anesthesia for other procedure on large bowel using an endoscope1715$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1615$0
View full utilization report →

Insurance plans in this area (ZIP 30067)

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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: 6608123724View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementGA
A N E S T H E S I O L O G YGA
-GA
Anesthesiology AssistantFL
-GA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YGA
-GA
A N E S T H E S I O L O G YGA

Reviews

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Frequently asked questions

Does DONALD RAY JR. CORNUTT (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DONALD RAY JR. CORNUTT (MD) uses 1538154083.
Can I rely on DONALD RAY JR. CORNUTT (MD) being an active provider?
As of the registry snapshot, DONALD RAY JR. CORNUTT (MD) is marked active.
What is DONALD RAY JR. CORNUTT (MD) best known for clinically?
Directory data describes DONALD RAY JR. CORNUTT (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DONALD RAY JR. CORNUTT (MD)?
DONALD RAY JR. CORNUTT (MD)'s geographic hint is Marietta, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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