Active NPI
Jean Meredith Clay, DPM
- Foot & Ankle Surgery Podiatrist
- Williamsburg, VA
National Provider Identifier
1154316453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103001049
- Practice address
- 302 Bulifants Blvd.
Suite 101
Williamsburg, VA 23188-3409 - Phone
- (757) 220-3338
- Fax
- (757) 220-8809
- NPI assigned
- Sep 13, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103001049 | VA | Primary |
Addresses
Primary practice location
302 Bulifants Blvd.
Suite 101
Williamsburg, VA 23188-3409
Mailing address
302 Bulifants Blvd.
Suite 101
Williamsburg, VA 23188-3409
Phone (757) 220-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070510000473 | VA | Practitioner - Podiatry | 6204932049 | Practice locations: Williamsburg, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103001049 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schumann Dermatology Group PC | Past | Accepting new patients |
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.
-
dba Commonwealth Foot Care, Inc
- Durable Medical Equipment & Medical Supplies
- Williamsburg, VA
- NPI 1316113764
-
- Specialist
- Williamsburg, VA
- NPI 1376614800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1154316453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 BULIFANTS BLVD.",
"address_2": "SUITE 101",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231883409",
"telephone_number": "757-220-3338",
"fax_number": "757-220-8809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 BULIFANTS BLVD.",
"address_2": "SUITE 101",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231883409",
"telephone_number": "757-220-3338",
"fax_number": "757-220-8809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "JEAN",
"middle_name": "MEREDITH",
"name_prefix": "Ms.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-13",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103001049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.