Walter Shannon Ray, PAC
Physician Assistant · Douglas, GA
Walter Shannon Ray, PAC is a physician assistant with a practice address in Douglas, Georgia, and NPI 1710081989, issued on Sep 11, 2006. Check the license (Georgia 003211, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Walter Shannon Ray
- Credential
- PAC
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 003211 GA
Self-reported in NPPES; status is on the state search - Practice location
- 100 Doctors Dr, Douglas, GA 31533
- Phone
- (912) 383-9789
- Enumerated
- Sep 11, 2006
- Record last updated
- Mar 23, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (912) 383-9435
- Medicaid ID
- 100002000A GA
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 100 Doctors Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Denise Mooney, PTPhysical Therapist1780802272
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Verify Walter Shannon Ray in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 003211Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $17.03
1 payment: food and beverage; the largest payer was W. L. Gore & Associates, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Walter Shannon Ray among 4,662 physician assistant records in Georgia
Walter Shannon Ray, PAC is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 85% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 59% of these records are
- Record last updated2010 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 physician assistant records list a practice address in Douglas
They are 10 of the 359 NPPES records with a practice address in Douglas, and 4,662 physician assistant records in Georgia.
All 4,662 in Georgia → Every provider in Douglas → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Hallie Brigmond, PA-CDouglas, GA 315331366724452
- Wandle Butler, PACDouglas, GA 315331689897209
- Rosa Crawford, PA-CDouglas, GA 315331952749137
- Caroline Douglas, PA-CDouglas, GA 315331295061208
- Karen Green, PADouglas, GA 315331124219530
- Dean Harper, PA-CDouglas, GA 315331598166175
- Amy Hodge, PA-CDouglas, GA 315331477263457
- Alexis McNeill, PA-CDouglas, GA 315331356047682
Common questions
What is Walter Shannon Ray, PAC's NPI number?
Walter Shannon Ray, PAC's National Provider Identifier (NPI) is 1710081989, issued on Sep 11, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Walter Shannon Ray, PAC located?
The NPPES record lists a practice address at 100 Doctors Dr, Douglas, GA, 31533. Phone: (912) 383-9789. Providers update this record themselves, so call before visiting.
How can I verify Walter Shannon Ray, PAC's license?
NPPES lists Georgia license number 003211, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.