Individual provider Active NPI

Carolyn Rita Fray, MD

  • Pediatrics Physician
  • Marion, NC
National Provider Identifier
1700415544
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2023-02450 Issued in NC
Practice address
387 US 70 W
Marion, NC 28752-6202
Phone
(352) 364-7349
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 2023-02450 NC Primary

Addresses

Primary practice location

387 US 70 W
Marion, NC 28752-6202

Mailing address

387 US 70 W
Marion, NC 28752-6202
Phone (352) 364-7349

Other practice location 1

Geisinger Medical Center 100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211

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
I20231116003417 NC Practitioner - Pediatric Medicine 6204283930 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023-02450NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MH Blue Ridge Medical Center, LLLP CurrentSince May 5, 2025 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Nov 4, 2023 Accepting new patients
MH Blue Ridge Medical Center, LLLP CurrentSince May 5, 2025 Accepting new patients
MH Blue Ridge Medical Center, LLLP Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Nov 4, 2023 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Sep 25, 2023 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

387 US 70 W
Marion, NC 28752
Phone (828) 652-6386

339 Nebo School Rd
Nebo, NC 28761
Phone (828) 652-6326

189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1700415544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 US 70 W",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526202",
            "telephone_number": "352-364-7349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 US 70 W",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287526202",
            "telephone_number": "352-364-7349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Geisinger Medical Center 100 North Academy Avenue",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAY",
        "first_name": "CAROLYN",
        "middle_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2023-02450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.