Individual provider Active NPI

Christi Ray, DO

  • Family Medicine Physician
  • Rocky Point, NC
National Provider Identifier
1871517748
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-02002 Issued in NC
Practice address
7910 US Highway 117 S
Suite 120
Rocky Point, NC 28457-9431
Phone
(910) 259-0400
Fax
(910) 675-3030
NPI assigned
Jul 26, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237785 NY
Family Medicine Physician 207Q00000X 2010-02002 NC Primary

Addresses

Primary practice location

7910 US Highway 117 S
Suite 120
Rocky Point, NC 28457-9431

Mailing address

PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 259-0400

Other identifiers 3

IdentifierTypeStateIssuer
5916960MedicaidNC
Q02002MedicaidSC
1871517748MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000453 NC Practitioner - Family Practice 3577568666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of PenderGroup PAC ID 7214081421, 5 clinicians

Practice addresses (Care Compare)

803 S Walker St
Burgaw, NC 28425-5001
Phone (910) 259-1230

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-02002NCMDFamily Medicine Physician
237785NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Pender CurrentSince Oct 29, 2012 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

803 S Walker St
Burgaw, NC 28425
Phone (910) 259-1230

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1871517748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602484",
            "telephone_number": "910-259-0400",
            "fax_number": "910-675-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 US HIGHWAY 117 S",
            "address_2": "SUITE 120",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284579431",
            "telephone_number": "910-259-0400",
            "fax_number": "910-675-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "CHRISTI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237785",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-02002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916960",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q02002",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871517748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NC

Sources for this page

Verify at the official NPI Registry.