NPIMap

Organization Active NPI

Cary Healthcare Associates, P.a.

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1760577274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARY HEALTHCARE ASSOCIATES, P.A.
Practice address
222 Ashville Avenue
Suite 10
Cary, NC 27518-6669
Phone
(919) 233-6000
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Tina Fitzgerald, RN
Title
Office Manager
Phone
(919) 233-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X NC Primary

Addresses

Primary practice location

222 Ashville Avenue
Suite 10
Cary, NC 27518-6669

Mailing address

222 Ashville Avenue
Suite 10
Cary, NC 27518-6669
Phone (919) 233-6000

Other identifiers 1

IdentifierTypeStateIssuer
89011YXMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000841 NC Part B Supplier - Clinic/Group Practice 2062483225 Receives reassigned benefits from 12 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory

Locations

301 Ashville Ave
Cary, NC 27518
Phone (919) 454-4997

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760577274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVENUE",
            "address_2": "SUITE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186669",
            "telephone_number": "919-233-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVENUE",
            "address_2": "SUITE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186669",
            "telephone_number": "919-233-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY HEALTHCARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-233-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011YX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.