Individual provider Active NPI

Colby Rebecca Pair, PA-C

  • Physician Assistant
  • Bullard, TX
National Provider Identifier
1609282433
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09246 Issued in TX
Practice address
204 Sunnys Halo Blvd
Bullard, TX 75757-5579
Phone
(903) 277-9241
NPI assigned
Jul 1, 2014
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09246 TX Primary

Addresses

Primary practice location

204 Sunnys Halo Blvd
Bullard, TX 75757-5579

Mailing address

204 Sunnys Halo Blvd
Bullard, TX 75757-5579
Phone (903) 277-9241

Other names 1

  • Miss Colby Rebecca Cordray Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID, AR, TN, NM, MT, AZ, LA, MA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20170104000552 TX Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20241204003070 ID Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250102001193 AR Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250210002625 TN Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250523000070 NM Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250604004095 MT Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250728003155 AZ Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20250729004005 LA Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization
I20260617001876 MA Practitioner - Physician Assistant 8224319314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Red Lodge, MT 59068
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (972) 449-0540

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (972) 449-0540

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (972) 449-0540

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (972) 449-0540

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (972) 449-0540

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (972) 449-0540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5804TNMDOccupational Therapist
PA09246TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Infectious Diseases, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cpair957465@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1609282433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SUNNYS HALO BLVD",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575579",
            "telephone_number": "903-277-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SUNNYS HALO BLVD",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575579",
            "telephone_number": "903-277-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIR",
        "first_name": "COLBY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLBY",
            "last_name": "CORDRAY",
            "middle_name": "REBECCA",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bullard, TX

Sources for this page

Verify at the official NPI Registry.