Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Darryl Ray

Individual provider Physician Assistant · NPI 1750194015

Mr. Timothy Darryl Ray is a Physician Assistant in Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2025, 1 year ago. Practices with Prisma Health Medical Group-Midlands, a 1,018-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Trained at
University of South Carolina School of Medicine
Licensed in
SC
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

2 Medical Park Rd Ste 300
Columbia, SC 29203-6839
Phone: (803) 434-8800
Fax: (803) 434-8802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 Hazelwood Rd, Columbia, SC 29209-3927 — (843) 504-6312

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5858 (SC)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1750194015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Prisma Health Medical Group-Midlands — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Columbia