Individual provider Active NPI

Jordan Matthew Clayton, NP-C

  • Family Nurse Practitioner
  • Savannah, TN
National Provider Identifier
1134575681
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21211 Issued in TN
Practice address
935 Wayne Rd
Savannah, TN 38372-1904
Phone
(731) 926-8000
NPI assigned
May 13, 2016
Last updated
May 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21211 TN Primary

Addresses

Primary practice location

935 Wayne Rd
Savannah, TN 38372-1904

Mailing address

1621 Whippoorwill Dr
Lawrenceburg, TN 38464-4323
Phone (931) 629-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719001941 TN Practitioner - Nurse Practitioner 8628361300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 N Military Ave
Lawrenceburg, TN 38464-2627
Phone (931) 766-7915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
21211TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Judy L. Jones, Family Nurse Practitioner, LLC Family CurrentSince Aug 1, 2023 Accepting new patients
Aligned Medical Center LLC Family CurrentSince Mar 13, 2025 Accepting new patients

Locations

718 N Military Ave
Lawrenceburg, TN 38464
Phone (931) 381-2110

530 Highway 64 E
Ste 4
Waynesboro, TN 38485
Phone (931) 722-7722

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.

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1134575681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 WHIPPOORWILL DR",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644323",
            "telephone_number": "931-629-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 WAYNE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383721904",
            "telephone_number": "731-926-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JORDAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.