Organization Active NPI

Clay Rural Medical Clinic PLLC

  • General Practice Physician
  • Clay, WV
National Provider Identifier
1013071711
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10485 Issued in WV
Legal business name
CLAY RURAL MEDICAL CLINIC PLLC
Practice address
43 Main Street
Clay, WV 25043
Phone
(304) 587-2636
Fax
(304) 587-4789
NPI assigned
Dec 20, 2006
Last updated
Feb 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Sharon Saheb Jamie, MDNPI 1427216712
Title
Owner
Phone
(304) 587-2636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10485 WV Primary

Addresses

Primary practice location

43 Main Street
Clay, WV 25043

Mailing address

43 Main Street
Clay, WV 25043
Phone (304) 587-2636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080207000011 WV Part B Supplier - Clinic/Group Practice 4789767294 Receives reassigned benefits from 2 practitioners
Practice locations: Clay, WV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1013071711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-2636",
            "fax_number": "304-587-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN STREET",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-2636",
            "fax_number": "304-587-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY RURAL MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "JAMIE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SAHEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-587-2636",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "10485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clay, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.