Healthcare Provider Details

I. General information

NPI: 1598052862
Provider Name (Legal Business Name): EMILY A RAY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY A EVERINGHAM D.O

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 JOE FRANK HARRIS PKWY SE STE 240
CARTERSVILLE GA
30120-2161
US

IV. Provider business mailing address

1200 MEMORIAL DR
DALTON GA
30720-2529
US

V. Phone/Fax

Practice location:
  • Phone: 470-490-1900
  • Fax:
Mailing address:
  • Phone: 706-272-6596
  • Fax: 706-272-6270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number90663
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5101019415
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number17690
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: