Clayton Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLAYTON MEDICAL SUPPLY INC

Practice address

6518 Highway 85 Ste G
Riverdale, GA 30274-2364

Phone

(770) 997-5660

Fax

(770) 216-1818

NPI assigned

Nov 19, 2020

Organization subpart

No

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

Authorized official

Name

Judith Fairclough

Title

Ceo

Phone

(404) 808-5118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1134722390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 HIGHWAY 85 STE G",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742364",
            "telephone_number": "770-997-5660",
            "fax_number": "770-216-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 HIGHWAY 85 STE G",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742364",
            "telephone_number": "770-997-5660",
            "fax_number": "770-216-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOUGH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-808-5118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Center Mhaddd
• Clayton Center Mhaddd
• Clayton Center Mhaddd
• Clayton County Board of Commissioners
• Clayton County Dialysis, LLC
• Clayton Mhddad
• Clayton Mhddad
• Kathryn Rose Clayton, MD
• Clinica Familiar Y Prenatal
• Clinica Medica Dr Rene Delgado, Inc

• Durable Medical Equipment & Medical Supplies in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.