Clayton Paul Michael Bellam, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

88612 Issued in GA

Practice address

8400 Veterans Pkwy Apt 802
Columbus, GA 31909-2453

Phone

(770) 906-0084

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• AL HMO D-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• AL HMO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment Care Compare group NPD
• Benning Hospitalist Services, LLC

  • Hospitalist Physician
  • Columbus, GA
  • NPI 1215442173
  Medicare reassignment NPD
• Muscogee Hospitalist Services, LLC

  • Hospitalist Physician
  • Columbus, GA
  • NPI 1639681851
  Medicare reassignment NPD
• St. Francis Physician Practices LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1326749417
  Medicare reassignment
• Hughston Hospital, Inc.

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1003311432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 VETERANS PKWY APT 802",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092453",
            "telephone_number": "770-906-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 VETERANS PKWY APT 802",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319092453",
            "telephone_number": "770-906-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAM",
        "first_name": "CLAYTON",
        "middle_name": "PAUL MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "88612",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Bell, LMSW
• Laura Bell
• Tonia Louise Bell, CERTIFIED HAIR LOSS
• Bella Rose Healthcare L.L.C.
• Christina Nicole Bellam, FNP-C
• Denise Bellamy-West
• Betty D Bellamy
• Cortasia Shantel Bellamy
• Amanda Lee Bellmyer, M.ED., B.C.B.A
• Roderick Arlandus Belt, CADCT

• Family Medicine Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.