Individual provider Active NPI

Clay Corpening Ijams, AGPCNP

  • Adult Health Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1154033736
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
251202 Issued in NC
Practice address
2030 Windsor Run LN
Matthews, NC 28105-0054
Phone
(704) 443-6250
Fax
(704) 443-6279
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 251202 NC Primary

Addresses

Primary practice location

2030 Windsor Run LN
Matthews, NC 28105-0054

Mailing address

5730 Executive Dr Ste 230
Catonsville, MD 21228-1762
Phone (704) 443-6250

Other practice location 1

24724 US 52
Albemarle, NC 28001
Phone (704) 982-8191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230119002610 NC Practitioner - Nurse Practitioner 7012388507 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erickson Health Medical Group of North Carolina, PCGroup PAC ID 6406104165, 5 clinicians

Practice addresses (Care Compare)

2030 Windsor Run LN
Matthews, NC 28105-0054
Phone (704) 443-6250

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
251202NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Dec 30, 2022 Accepting new patients
Erickson Health Medical Group of North Carolina, PC CurrentSince Jun 10, 2024 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Dec 30, 2022 Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5730 Executive Dr
Ste 230
Catonsville, MD 21228
Phone (410) 402-2379

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1154033736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 EXECUTIVE DR STE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212281762",
            "telephone_number": "704-443-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WINDSOR RUN LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281050054",
            "telephone_number": "704-443-6250",
            "fax_number": "704-443-6279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24724 US 52",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "28001",
            "country_code": "US",
            "telephone_number": "704-982-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IJAMS",
        "first_name": "CLAY",
        "middle_name": "CORPENING",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "251202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.