Clayton D Wilson, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19654 Issued in TN

Practice address

1009 N Locust Ave
Suite 1
Lawrenceburg, TN 38464-2706

Phone

(931) 762-0531

Fax

(931) 762-0998

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MI, KY3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amg-Crockett, LLC

  dba Advanced Neurology Associates

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1326550732
  Medicare reassignment NPD
• Tennessee Valley Allergy Servcies

  • Allergy & Immunology Physician
  • Lawrenceburg, TN
  • NPI 1306657267

  Family Medicine

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, TN

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD
• Clayton D Wilson MD

  • Family Medicine Physician
  • Lawrenceburg, TN
  • NPI 1427203207
  Authorized official Same address or phone
• Amg-Crockett, LLC

  dba Women's Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1891580858
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1144312372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642706",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N LOCUST AVE",
            "address_2": "SUITE 1",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642706",
            "telephone_number": "931-762-0531",
            "fax_number": "931-762-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CLAYTON",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "19654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark A. Whitehead, PA-C
• Sarah Whitmore, CNM
• Samantha A Whitwell, FNP-BC
• Kenneth Lamar Will, CRNA
• Crystal Williams, APN
• Suzanne Wisdom, RPH
• Womens Health Asscoiates of Lawrence Co
• Evelyn Lorraine Wright, APN-C
• Amanda Wyland
• Leah Nicole Yates-Willis, CPS

• Family Medicine Physician in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.
• 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.