Clyde Hamilton Moreland, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME63178 Issued in FL

Practice address

3251 3Rd Ave N
St Petersburg, FL 33713-8506

Phone

(727) 321-3854

Fax

(727) 327-7670

NPI assigned

Jun 20, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Charities IncGroup PAC ID 2163668286, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

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.

• Metropolitan Charities Inc

  dba Metro Healthy Communities

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1013277060

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Unique Healthcare Systems LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1831567627
  Medicare reassignment NPD
• Bayfront Enterprises Inc

  dba Bayfront Convenient Care Clinics

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710963236
  NPD (past)
• Unique Management Group

  dba AFC Primary Care

  • Primary Care Clinic/Center
  • Pinellas Park, FL
  • NPI 1528622586
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1174569123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138506",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138506",
            "telephone_number": "727-321-3854",
            "fax_number": "727-327-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "CLYDE",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME63178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18759",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930100653",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260480900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Moran, ANP
• Kelly Moran
• Naomi Lynn Moran, OTR
• Erica Morand, RN
• Tara Morder
• Anthony Robt Morelli, M.D.
• Timothy Allen Morelli, B.A.
• Lenin R Moreno, RD
• Yara Rosas Moreno
• Alex Zane Morgan, D.C.

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.