MTM&M PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30615 Issued in NC

Legal business name

MTM&M PLLC

Doing business as

Acts Medical

Practice address

4111 Wendell Blvd
Wendell, NC 27591-6831

Phone

(919) 365-8484

Fax

(919) 365-8450

NPI assigned

Jul 10, 2008

Last updated

May 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Clayton, M.D.NPI 1477518413

Title

President

Phone

(919) 261-9727

Specialties & licenses 1

Addresses

Other names 1

• ACTS MEDICAL Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Robert Eric Clayton, M.D.

  • Family Medicine Physician
  • Wendell, NC
  • NPI 1477518413
  Medicare reassignment NPD Authorized official
• Tori Ashlee Thomas

  • Family Nurse Practitioner
  • Wendell, NC
  • NPI 1831984525
  Medicare reassignment NPD
• Juliette Dewitt Parks, PA-C

  • Medical Physician Assistant
  • Raleigh, NC
  • NPI 1730739475
  Medicare reassignment
• Bruce Edward McKay, PA-C

  • Medical Physician Assistant
  • Wendell, NC
  • NPI 1326074238
  NPD (past)

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1083877997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916831",
            "telephone_number": "919-365-8484",
            "fax_number": "919-365-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916831",
            "telephone_number": "919-365-8484",
            "fax_number": "919-365-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM&M PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-261-9727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "30615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTS MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monarch
• Marc Allen Mooney, LAT, ATC
• Kaitlin Lewis Moore, PT, DPT
• Melanie Moucha, BCBA
• Stephanie D Moye, NP
• Neidre Banakus DDS PLLC (The Smiling Turtle Pediatric Dentistry)
• Neidre J Banakus DDS PC Wendell (The Smiling Turtle Pediatric Dentistry Wendell)
• New Stone Helath Group Inc
• Jean Elizabeth Nordick-Vargas
• Alicia Ann Nossov, FNP-C

• Family Medicine Physician in Wendell, NC
• Providers in Wendell, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.