NPIMap

Organization Active NPI

Dee G. McCrary Jr. MD PA

Doing business as Greenville Healthcare Associates

  • Family Medicine Physician
  • Greenville, TX
National Provider Identifier
1205976511
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DEE G. MCCRARY JR. MD PA
Doing business as
Greenville Healthcare Associates
Practice address
4101 Wesley St
Suite C
Greenville, TX 75401-5635
Phone
(903) 454-8111
Fax
(903) 454-1680
NPI assigned
Feb 7, 2007
Last updated
Aug 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Ms. Dee Ayad
Title
Office Administrator
Phone
(903) 453-2929

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

4101 Wesley St
Suite C
Greenville, TX 75401-5635

Mailing address

4101 Wesley St
Suite C
Greenville, TX 75401-5635
Phone (903) 454-8111

Other identifiers 4

IdentifierTypeStateIssuer
0087JYOtherTXMULTI-SPECIALTY GROUP
DA2786OtherTXMULTI-SPECIALTY GROUP
163200202MedicaidTX
163200203OtherTXTEXAS HEALTH STEPS

Other names 1

  • GREENVILLE HEALTHCARE ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000498 TX Part B Supplier - Clinic/Group Practice 9234020553 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Greenville, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5116 Bissonnet St
Bellaire, TX 77401
Phone (713) 349-0248

5116 Bissonnet St Ste 433
Bellaire, TX 77401

2706 Aileen Blvd
#A
Greenville, TX 75402
Phone (903) 454-8111

4101 Wesley St
Ste C
Greenville, TX 75401
Phone (903) 454-8111

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1205976511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-8111",
            "fax_number": "903-454-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WESLEY ST",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015635",
            "telephone_number": "903-454-8111",
            "fax_number": "903-454-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEE G. MCCRARY JR. MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "AYAD",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-453-2929",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-SPECIALTY GROUP",
            "identifier": "0087JY",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-SPECIALTY GROUP",
            "identifier": "DA2786",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163200202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HEALTH STEPS",
            "identifier": "163200203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENVILLE HEALTHCARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.