Individual provider Active NPI

Angelia Elaine Clayton, CERTIFIED NURSE PRAC

  • Nurse Practitioner
  • Tuskegee, AL
National Provider Identifier
1164534194
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-056798 Issued in AL
Practice address
2400 Hospital Rd
Tuskegee, AL 36083-5001
Phone
(334) 727-0550
Fax
(334) 727-2508
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-056798 AL Primary

Addresses

Primary practice location

2400 Hospital Rd
Tuskegee, AL 36083-5001

Mailing address

915 Excelsior Dr
Montgomery, AL 36117-4515
Phone (334) 727-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-056798ALMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1164534194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 EXCELSIOR DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174515",
            "telephone_number": "334-727-0505",
            "fax_number": "334-725-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL RD",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360835001",
            "telephone_number": "334-727-0550",
            "fax_number": "334-727-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "ANGELIA",
        "middle_name": "ELAINE",
        "name_prefix": "Miss",
        "credential": "CERTIFIED NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-056798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.