Active NPI
Ayanna J McCray, M.D.
- Pediatrics Physician
- King George, VA
National Provider Identifier
1730267352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101236274
- Practice address
- 7967 Kings Hwy
King George, VA 22485-7075 - Phone
- (540) 775-6445
- Fax
- (540) 775-6449
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101236274 | VA | Primary |
Addresses
Primary practice location
7967 Kings Hwy
King George, VA 22485-7075
Mailing address
PO Box 1460
Fredericksburg, VA 22402-1460
Phone (540) 785-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730267352 | Other | VA | ANTHEM |
| 1730267352 | Medicaid | VA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236274 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King George Medical Center LTD | Pediatrics | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1730267352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1460",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224021460",
"telephone_number": "540-785-2100",
"fax_number": "540-786-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7967 KINGS HWY",
"city": "KING GEORGE",
"state": "VA",
"postal_code": "224857075",
"telephone_number": "540-775-6445",
"fax_number": "540-775-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAY",
"first_name": "AYANNA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101236274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1730267352",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730267352",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in King George, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.