Individual provider Active NPI

Catherine C McCray, M.D.

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1831175116
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2004012243 Issued in MO
Practice address
1200 Fay St
Columbia, MO 65201-4720
Phone
(573) 356-1425
Fax
(573) 240-9739
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2004012243 MO Primary

Addresses

Primary practice location

1200 Fay St
Columbia, MO 65201-4720

Mailing address

1200 Fay St
Columbia, MO 65201-4720
Phone (573) 356-1425

Other identifiers 1

IdentifierTypeStateIssuer
209437508MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050118000547 MO Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3375592223 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridget P. Early, MD, LLC Family Medicine CurrentSince Aug 5, 2020 Accepting new patients
Mid-Missouri Behavioral Health LLC PastSince Jan 4, 2026 Accepting new patients

Locations

504 E Broadway
Ste A
Ashland, MO 65010
Phone (573) 657-7330

2100 E Broadway
Ste 108
Columbia, MO 65201
Phone (571) 438-5376

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1831175116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FAY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014720",
            "telephone_number": "573-356-1425",
            "fax_number": "573-240-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FAY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014720",
            "telephone_number": "573-356-1425",
            "fax_number": "573-240-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "CATHERINE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004012243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209437508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.