Stephen Justin Clements

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

112103 Issued in GA

Practice address

811 Highway 441 N Ste 100
Clayton, GA 30525-6446

Phone

(706) 782-5991

Fax

(706) 309-2945

NPI assigned

Mar 28, 2023

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Clayton, GA
  • NPI 1346299807
  NPD (past)
• Medlink Georgia Inc

  • Federally Qualified Health Center (FQHC)
  • Colbert, GA
  • NPI 1396794541
  NPD (past)

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1033813563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 HIGHWAY 441 N STE 100",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256446",
            "telephone_number": "561-472-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HIGHWAY 441 N STE 100",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305256446",
            "telephone_number": "706-782-5991",
            "fax_number": "706-309-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 459",
            "address_purpose": "LOCATION",
            "city": "Colbert",
            "state": "GA",
            "postal_code": "306280459",
            "country_code": "US",
            "telephone_number": "706-788-3234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "STEPHEN",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "112103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherie Mock Cates, PT
• Clayton Counseling & Associates
• Clayton Family Chiropractic Clinic, Inc
• Clayton Family Eye Care PC
• Clayton Therapy Center, LLC
• Judith Ann Cole, LPC
• Thomas Gregory Cole, LPC
• Cayce Collins, LAMFT
• Maria Ann Corella, FNP
• Erika Czerwinski, PSY.D.

• Pediatrics Physician in Clayton, GA
• Providers in Clayton, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.