Dwayne Lee Clay, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

042215 Issued in GA

Practice address

6010 Lakeside Commons Dr
Suite a
Macon, GA 31210-5779

Phone

(478) 475-9220

Fax

(478) 475-9201

NPI assigned

Aug 15, 2006

Last updated

Dec 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Albany Medical College of Union University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9d6b5484-5a6e-4277-a298-c488b306f27b/

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.

• Lakeside Pain Center, P.C.

  • Interventional Pain Medicine Physician
  • Bloomingdale, GA
  • NPI 1477566727

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Bowman Pain Management Center, PC

  dba Bowman Pain Management, PC

  • Pain Clinic/Center
  • Macon, GA
  • NPI 1417979550
  NPD Authorized official

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

• The Medical Center of Central Georgia Inc

  dba Atrium Health Navicent The Medical Center

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1003829433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 LAKESIDE COMMONS DR",
            "address_2": "SUITE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105779",
            "telephone_number": "478-475-9220",
            "fax_number": "478-475-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 LAKESIDE COMMONS DR",
            "address_2": "SUITE A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105779",
            "telephone_number": "478-475-9220",
            "fax_number": "478-475-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "DWAYNE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "042215",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "042215",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "042215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00738493H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Keith Clark, DDS
• Claudes Loving Hands LLC
• Claxton-Graves, Inc (Graves Pharmacy)
• Cherrice Clay-Austin, NP
• Arielle Marie Clay, MD
• Clear Path Nursing Agency
• Clear Sight Family Eyecare
• Amber Lee Cleghorn, AU.D, CCC-A
• Jon Mason Clements
• Maurice Clifton, MD

• Interventional Pain Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; 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.