Active NPI
Lloyd Scott Clements, MD PHD
- General Practice Physician
- Mobile, AL
National Provider Identifier
1063498533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23115
- Practice address
- 1504 Springhill Ave
Suite 1600
Mobile, AL 36604-3207 - Phone
- (251) 434-3915
- Fax
- (251) 434-3802
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 00023115 | AL | |
| General Practice Physician | 208D00000X | 23115 | AL | Primary |
Addresses
Primary practice location
1504 Springhill Ave
Suite 1600
Mobile, AL 36604-3207
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 470-5842
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00709300 | Medicaid | MS | |
| 276517900 | Medicaid | FL | |
| 51536493 | Other | AL | BCBS |
| 1583669 | Medicaid | LA | |
| 009938906 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00023115 | AL | MD | Pediatrics Physician |
| 23115 | AL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1063498533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-470-5842",
"fax_number": "251-470-5809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SPRINGHILL AVE",
"address_2": "SUITE 1600",
"city": "MOBILE",
"state": "AL",
"postal_code": "366043207",
"telephone_number": "251-434-3915",
"fax_number": "251-434-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "LLOYD",
"middle_name": "SCOTT",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "00023115",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AL",
"license": "23115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00709300",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276517900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51536493",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1583669",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009938906",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.