Active NPI
Jennifer Clifton, AGPCNP-BC
- Family Nurse Practitioner
- Savannah, GA
National Provider Identifier
1104234749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN218993
- Practice address
- 95 Skidaway Island Park Rd
Savannah, GA 31411 - Phone
- (304) 633-2029
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RN218993 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN218993 | GA | Primary |
Addresses
Primary practice location
95 Skidaway Island Park Rd
Savannah, GA 31411
Mailing address
1845 Branden Way
Richmond Hill, GA 31324-6291
Phone (304) 633-2029
Other practice location 1
340 Eisenhower Dr
#1200
Savannah, GA 31406-1600
Phone (912) 443-4200
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150127001818 | GA | Practitioner - Nurse Practitioner | 5193049989 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN218993 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Savannah, LLC | Current | Accepting new patients | |
| Uhs of Savannah LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
633 Stephenson Ave
Savannah, GA 31405
Phone (912) 351-3590
1150 Cornell Ave
Savannah, GA 31406
Phone (912) 354-3911
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Savannah, GA
- NPI 1003154535
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1104234749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 BRANDEN WAY",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313246291",
"telephone_number": "304-633-2029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SKIDAWAY ISLAND PARK RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31411",
"telephone_number": "304-633-2029"
}
],
"practiceLocations": [
{
"address_1": "340 Eisenhower Dr",
"address_2": "#1200",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314061600",
"country_code": "US",
"telephone_number": "912-443-4200",
"fax_number": "912-355-8124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLIFTON",
"first_name": "JENNIFER",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "RN218993",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN218993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.