NPIMap

Individual provider Active NPI

John A Clay, M.D.

  • Family Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1093905994
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244100 Issued in VA
Practice address
930 South Ave
Colonial Heights, VA 23834-3621
Phone
(804) 504-8025
Fax
(804) 504-8026
NPI assigned
Jul 26, 2007
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101244100 VA Primary

Addresses

Primary practice location

930 South Ave
Colonial Heights, VA 23834-3621

Mailing address

930 South Ave
Colonial Heights, VA 23834-3621
Phone (804) 504-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000767 VA Practitioner - Family Practice 4789748807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Health Group IncGroup PAC ID 3577465202, 18 clinicians

Practice addresses (Care Compare)

6439 Iron Bridge Rd
North Chesterfield, VA 23234-5205
Phone (804) 271-8990

930 S Ave
Colonial Heights, VA 23834-3621
Phone (804) 644-1333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Group Inc Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Primary Health Group Inc Family Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

930 South Ave
Ste 11
Colonial Heights, VA 23834
Phone (804) 504-8025

930 South Ave
Colonial Hgts, VA 23834
Phone (804) 320-4967

6439 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 271-8960

500 Hioaks Rd
Ste B
Richmond, VA 23225
Phone (804) 320-1339

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEEHDD
  • Direct secure messaging: john.clay@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1093905994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-504-8025",
            "fax_number": "804-504-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-504-8025",
            "fax_number": "804-504-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.