Cathy Renee Golladay, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12473 Issued in TX

Practice address

700 Westport Pkwy
Ft Worth, TX 76177-4513

Phone

(204) 207-3755

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cathy Renee Phillips Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• American Current Care, P.a.

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1275651002
  Medicare reassignment NPD
• Secure Medical Associates, LLC

  dba Secure Medical Care

  • Urgent Care Clinic/Center
  • Gaithersburg, MD
  • NPI 1356396667
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1669620696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28809 GREENBERRY DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208822312",
            "telephone_number": "240-207-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WESTPORT PKWY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761774513",
            "telephone_number": "204-207-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLADAY",
        "first_name": "CATHY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHY",
            "last_name": "PHILLIPS",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vernistene Golden, LCSW
• Paul Jay Goldman, M.D.
• Carolyn B Goldsmith, EDD LPC-S LMFT-S
• Stephanie Goldstein, MD
• Nikoleta Golemi, DO
• Timothy T. Gollaher, CRNA
• Vitaly Golub, MD
• Monica Gomez Lengeman
• Daisy Gomez
• David Julian Gomez, CRNA

• Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.