Individual provider Active NPI

Carey McCutchen Ray, PA-C

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1669065942
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3865 Issued in SC
Practice address
1460 Oakcrest Dr Apt 1618
Columbia, SC 29223-1743
Phone
(678) 232-9583
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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 PA3865 SC Primary

Addresses

Primary practice location

1460 Oakcrest Dr Apt 1618
Columbia, SC 29223-1743

Mailing address

1460 Oakcrest Dr Apt 1618
Columbia, SC 29223-1743
Phone (678) 232-9583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210804003126 SC Practitioner - Physician Assistant 1759785306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina ENT Allergy and Sleep Medicine PAGroup PAC ID 0840214748, 24 clinicians

Practice addresses (Care Compare)

145 Park Central Dr
Suite 100
Columbia, SC 29203-6469
Phone (803) 408-3277

15 Exchange Dr
Lugoff, SC 29078-9198
Phone (803) 408-3277

2221 Saint Matthews Rd
Orangeburg, SC 29118-2040
Phone (803) 408-3277

410 W Wesmark Blvd
Sumter, SC 29150-1983
Phone (803) 408-3277

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3865SCMDChiropractor
PA3865SCMDPhysician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1669065942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 OAKCREST DR APT 1618",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231743",
            "telephone_number": "678-232-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 OAKCREST DR APT 1618",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231743",
            "telephone_number": "678-232-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CAREY",
        "middle_name": "MCCUTCHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.