Individual provider Active NPI

Cathy Sue Childress, PA

  • Emergency Medicine Physician
  • Safford, AZ
National Provider Identifier
1851696843
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10915 Issued in AZ
Practice address
1600 S 20TH Ave
Safford, AZ 85546-4011
Phone
(928) 348-4177
NPI assigned
Jan 21, 2011
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0766 SD
Emergency Medicine Physician 207P00000X 10915 AZ Primary

Addresses

Primary practice location

1600 S 20TH Ave
Safford, AZ 85546-4011

Mailing address

PO Box 550
302 South 1St Avenue
Martin, SD 57551-0550
Phone (605) 685-6868

Other practice location 1

302 South 1st Avenue
Martin, SD 57551
Phone (605) 685-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110503000538 SD Practitioner - Physician Assistant 4486664745 Reassigns benefits to 3 organizations
I20260522000408 AZ Practitioner - Physician Assistant 4486664745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 S 20TH Ave
Safford, AZ 85546-4011

7471 Pan American Fwy NE
Albuquerque, NM 87109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10915AZMDEmergency Medicine Physician
0766SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Jun 2, 2021 Accepting new patients
Philip Health Services, Inc. Multi-Specialty CurrentSince Feb 3, 2020 Accepting new patients
Sanford Health Network CurrentSince Jun 2, 2021 Accepting new patients
Philip Clinic PastSince Mar 28, 2021 Accepting new patients

Locations

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

503 W Pine St
Philip, SD 57567
Phone (605) 859-2511

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1851696843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "address_2": "302 SOUTH 1ST AVENUE",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575510550",
            "telephone_number": "605-685-6868",
            "fax_number": "605-685-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464011",
            "telephone_number": "928-348-4177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 South 1st Avenue",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "SD",
            "postal_code": "57551",
            "country_code": "US",
            "telephone_number": "605-685-6868",
            "fax_number": "605-685-6943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "CATHY",
        "middle_name": "SUE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0766",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "10915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.