Active NPI
Richard A Kay, PA-C
- Physician Assistant
- Toccoa, GA
National Provider Identifier
1700865698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2000-PA25
- Practice address
- 58 Big a Rd
Toccoa, GA 30577-6017 - Phone
- (706) 886-9693
- Fax
- (706) 886-7843
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2000-PA25 | NM | Primary |
Addresses
Primary practice location
58 Big a Rd
Toccoa, GA 30577-6017
Mailing address
1009 Golf Course Rd SE
Ste 109
Rio Rancho, NM 87124-4705
Phone (706) 886-9693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56426739 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-PA25 | NM | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Mexico Orthopaedic Associates PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- Albuquerque, NM
- NPI 1407898299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1700865698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 GOLF COURSE RD SE",
"address_2": "STE 109",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244705",
"telephone_number": "706-886-9693",
"fax_number": "706-886-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BIG A RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776017",
"telephone_number": "706-886-9693",
"fax_number": "706-886-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAY",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "2000-PA25",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56426739",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.