Organization Active NPI

Cary Gastroenterology Associates PA

  • Gastroenterology Physician
  • Cary, NC
National Provider Identifier
1922165018
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CARY GASTROENTEROLOGY ASSOCIATES PA
Practice address
115 Kildaire Park Dr Ste 201
Cary, NC 27518-8144
Phone
(919) 816-4948
Fax
(919) 233-7685
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Nola Allan, MPA
Title
Practice Administrator
Phone
(919) 816-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

115 Kildaire Park Dr Ste 201
Cary, NC 27518-8144

Mailing address

115 Kildaire Park Dr Ste 201
Cary, NC 27518-8144
Phone (919) 816-4948

Other practice location 1

208 Village Walk Dr
Holly Springs, NC 27540-7681
Phone (919) 816-4948

Other practice location 2

2418 Blue Ridge Rd Ste 250
Raleigh, NC 27607-6482
Phone (919) 797-1644

Other identifiers 7

IdentifierTypeStateIssuer
0115HOtherNCBCBS GRP NUMBER
8934199MedicaidNC
34199OtherNCSTEPHEN FURS NCBCBS
8911680MedicaidNC
7928291MedicaidNC
890115HMedicaidNC
8967772MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carygastro@directaddress.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070615000529 NC Part B Supplier - Clinic/Group Practice 2264531201 Receives reassigned benefits from 7 practitioners
Practice locations: Cary, NC

National Provider Directory

National Provider Directory
Tax ID family
Cary Gastroenterology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 Crescent Green
Ste 102
Cary, NC 27518
Phone (919) 233-0410

2418 Blue Ridge Rd
Ste 250
Raleigh, NC 27607
Phone (919) 787-1644

7300 Eldorado Pkwy
Ste 275
McKinney, TX 75070
Phone (972) 562-4430

Interoperability endpoints

  • Direct secure messaging: carygastro@directaddress.net

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1922165018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-816-4948",
            "fax_number": "919-233-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 201",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-816-4948",
            "fax_number": "919-233-7685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Village Walk Dr",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407681",
            "country_code": "US",
            "telephone_number": "919-816-4948",
            "fax_number": "919-233-7685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2418 Blue Ridge Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076482",
            "country_code": "US",
            "telephone_number": "919-797-1644",
            "fax_number": "919-233-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARY GASTROENTEROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "ALLAN",
        "authorized_official_first_name": "NOLA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-816-4948",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP NUMBER",
            "identifier": "0115H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8934199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN FURS NCBCBS",
            "identifier": "34199",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911680",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7928291",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890115H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8967772",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carygastro@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Our EMR, Modernizing Medicine holds this information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "115 Kildaire Park Dr Ste 201",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275188144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 21, 2021; 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.