Individual provider Active NPI

Cynthia Marie Gary, PA

  • Physician Assistant
  • Smithfield, NC
National Provider Identifier
1760719587
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
517 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone
(919) 209-8307
Fax
(919) 989-5278
NPI assigned
Nov 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

517 N Brightleaf Blvd
Smithfield, NC 27577-4407

Mailing address

517 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 209-8307

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.gary.1@32647.direct.athenahealth.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000712 NC Practitioner - Physician Assistant 3173792603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Johnston CountyGroup PAC ID 8224011861, 19 clinicians

Practice addresses (Care Compare)

517 N Bright Leaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-5200

517 N Brightleaf Blvd
Smithfield, NC 27577-4407

521 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 989-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston County Public Health Department CurrentSince May 24, 2011 Accepting new patients
County of Johnston North Carolina CurrentSince May 24, 2011 Accepting new patients

Locations

517 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 989-5200

Organizations & group practices 2

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1760719587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-209-8307",
            "fax_number": "919-989-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774407",
            "telephone_number": "919-209-8307",
            "fax_number": "919-989-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.gary.1@32647.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "athenaOne DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "517 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.