Individual provider Active NPI

Danetta Latia Patrice Green-McCray, MD

  • Obstetrics & Gynecology Physician
  • Spartanburg, SC
National Provider Identifier
1164162590
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
97204 Issued in SC
Practice address
853 N Church St Ste 700
Spartanburg, SC 29303-3003
Phone
(803) 406-3706
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 97204 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

853 N Church St Ste 700
Spartanburg, SC 29303-3003

Mailing address

853 N Church St Ste 700
Spartanburg, SC 29303-3003

Other practice location 1

119 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 771-5500

Other names 1

  • Danetta Green-McCray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220722001200 NC Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 3577944487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1164162590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST STE 700",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST STE 700",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033003",
            "telephone_number": "803-406-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Hendersonville Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032868",
            "country_code": "US",
            "telephone_number": "828-771-5500",
            "fax_number": "828-257-4750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN-MCCRAY",
        "first_name": "DANETTA",
        "middle_name": "LATIA PATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "97204",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANETTA",
            "last_name": "GREEN-MCCRAY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.