Active NPI
Patrick Clayborn
- Private Vehicle
- West Point, MS
National Provider Identifier
1013626118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- Practice address
- 27363 E Main St
West Point, MS 39773-2774 - Phone
- (662) 769-9211
- NPI assigned
- Nov 16, 2022
- Last updated
- Nov 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | MS | Primary |
Addresses
Primary practice location
27363 E Main St
West Point, MS 39773-2774
Mailing address
27363 E Main St
West Point, MS 39773-2774
Phone (662) 769-9211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1013626118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27363 E MAIN ST",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397732774",
"telephone_number": "662-769-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27363 E MAIN ST",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397732774",
"telephone_number": "662-769-9211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYBORN",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
- Clay County Medical Corporation (North Mississippi Eye Care West Point)
- Clay County Medical Corporation (Clay County Med Center Swing Bed)
- Clay County Medical Corporation (Clay County Med Ctr - Ambulance)
- Tayla Clay, APRN
- Barbrette A. Clayborn, M.D.
- CLC of West Point, LLC (West Point Community Living Center)
- Jennifer Harshaw Clements, CFNP
- Coggins Family Medical Clinic Inc
- Kay T Coggins, FNP-BC
- Peggie Ann Coleman, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.