MICHELLE ANN RAY (PA-C) – Surgical Physician Assistant, NPI 1629395140
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MICHELLE ANN RAY (PA-C)
207 OLDE OAK WAY
WOODSTOCK, GA 301886130
Phone: (770) 928-3332
Type: Mailing
300 TOWER RD NE
SUITE 200
MARIETTA, GA 300609404
Phone: (770) 427-5717
Fax: (770) 514-6744
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $275.
Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Aadi Bioscience, Inc. ($140).
Total Amount
$275
General + Research + Ownership
Payments
3
Total payment records
General Amount
$275
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Aadi Bioscience, Inc. | $140 |
| Pacira Pharmaceuticals Incorporated | $122 |
| Inari Medical, Inc. | $13 |
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: 2010-09-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100902000234 | I | Physician Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 53 | $0 |
| 73560 | X-ray of knee, 1-2 views | 61 | 43 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 54 | 29 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 49 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 30188)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 27447 | Repair of knee joint | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| Internal Medicine | GA | |
| Physician Assistant | FL | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Anesthesiology Assistant | GA | |
| - | CA | |
| D E R M A T O L O G Y | GA | |
| Interventional Radiology, Diagnostic Radiology | NC | |
| Physician Assistant | GA | |
| - | GA |
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