Patricia A McClerklin, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

13923 Issued in SC

Practice address

112 Doctors Cir
Columbia, SC 29203-6503

Phone

(803) 771-9163

Fax

(803) 771-7383

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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 SC

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 1

Specialty

Dermatology

Education

Howard University College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Patricia a McClerklin, MD, PA

  • Dermatology Physician
  • Columbia, SC
  • NPI 1235853847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1154428100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036503",
            "telephone_number": "803-771-9163",
            "fax_number": "803-771-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036503",
            "telephone_number": "803-771-9163",
            "fax_number": "803-771-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLERKLIN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "13923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3032",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Andrew McClenaghan, PT
• Laura Elizabeth Thomas McClendon, DPT
• Gaye McClenny Betcher, MSN, ANP
• Alaina McClerklin, FNP-C
• Beverly McClerklin
• Lawrence B McClintock
• Cheryl G. McClinton
• Robert Glenn McCloy, LPC
• Sandra G. McCloy, PHD
• Catherine Faith McClung Smith, MD

• Dermatology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.